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The older adult driver.

D B Carr1

  • 1Division of Geriatrics and Gerontology, Washington University School of Medicine, St Louis, Missouri 63108, USA. dcarr@imgate.wustl.edu

American Family Physician
|January 22, 2000
PubMed
Summary

As the older adult population grows, assessing driving safety is crucial. Family physicians can identify impairments, manage conditions, and help maintain or transition older drivers safely.

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Area of Science:

  • Geriatrics
  • Public Health
  • Transportation Safety

Background:

  • The number of adults aged 65 and older who drive is increasing.
  • While many older drivers remain safe, some experience physiologic or cognitive impairments affecting driving ability.

Purpose of the Study:

  • To outline a comprehensive approach for assessing driving competency in older adults.
  • To emphasize the role of family physicians in managing age-related driving risks.

Main Methods:

  • Recommending a step-by-step assessment process when driving competency is questioned.
  • Highlighting the detection and treatment of diseases affecting driving by family physicians.
  • Suggesting referrals to occupational or physical therapists for specialized evaluations.

Main Results:

  • Many conditions impairing driving can be identified and treated by primary care physicians.
  • Physicians can actively reduce motor vehicle injury risks for older drivers.
  • Interventions may delay or prevent the need for driving cessation.

Conclusions:

  • Family physicians play a vital role in the comprehensive assessment and management of older adult drivers.
  • Early detection and treatment of impairments can enhance driving safety.
  • When driving cessation is necessary, physicians should guide patients toward alternative transportation options.

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