Driving in the Elderly

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Created by:

rubeneer  on December 3, 2011

Subjects:

Orthopedics

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Driving in the Elderly

What type of skill is driving?
- Cortical skill that require subcortical involvement
- As you get older - driving becomes cortical again
§ More likely to miss a light and hit someone
- >75 - start to become cortical again (why they drive slow again)
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What type of skill is driving? - Cortical skill that require subcortical involvement
- As you get older - driving becomes cortical again
§ More likely to miss a light and hit someone
- >75 - start to become cortical again (why they drive slow again)
What sub-skills of vision are affected with aging? How do these affect performance?Skill - Vision - Macular Degeneration, diabetic retinopathy, glaucoma, etc.
• Sub-skill
□ Dynamic visual acuity
□ Peripheral vision
• Driving performance
□ Difficulty distinguishing fine detail, problems with glare in bright Sunlight
□ Difficulty at intersections and changing lanes
□ Failure to identify potential hazards, failure to yield the right of way, inadequate stopping distance
What other sub-skills are affected with aging and driving? How do these affect performance? Skill - Other sensory input - PVD
• Sub-skill
□ Hearing
□ Tactual
• Driving Performance
□ Difficulty hearing sirens, horns, and whistles
□ Difficulty feeling pedals and modulating pressure on pedals
Compare and contrast visual changes associated with macular degeneration, diabetic retinopathy, and glaucoma and how these might affect driving. b. Corneal Pathology - blurry
c. Macular Degeneration - takes away central vision
d. Diabetic Retinopathy - blotchy
Describe the PT's role in educating the elderly about driving and driving safety. 1. Don't let someone drive home that isn't able to
2. Driver refresher course
3. Ask family/friends about concerns
4. Consult Dr. about vision, hearing, and other physical changes that may affect driving

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