Addressing the needs of the older driver
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Addressing the Needs of the Older Driver. Jerry Bouman CDRS Mary Free Bed Hospital Driver Rehab Greg Brunette, CDRS Mary Free Bed Hospital Driver Rehab. The Purpose of this presentation is to. Describe changes that occur with aging that may affect a person’s driving ability

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Addressing the Needs of the Older Driver

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Addressing the needs of the older driver

Addressing the Needs of the Older Driver

Jerry Bouman CDRS

Mary Free Bed Hospital Driver Rehab

Greg Brunette, CDRS

Mary Free Bed Hospital Driver Rehab


The purpose of this presentation is to

The Purpose of this presentation is to

  • Describe changes that occur with aging that may affect a person’s driving ability

  • Review warning signs of driving problems

  • Provide information on options to address driving: State of Michigan, driver rehabilitation, refrain from driving

  • Provide information on accessing those programs


Driver demographics

Driver Demographics

  • As the population ages and baby boomers get older, we can expect the number of elderly drivers to increase.

  • Motor vehicle crashes are the #1 cause of injury related deaths in the 65-74 age group. (AMA Physician Guide)

  • Older drivers have a higher fatality rate per mile driven than any other age group except those under age 25. (AMA Physician Guide)


Changes with aging

Changes with Aging

  • Normal aging process

  • Increased probability of disease


Changes with normal aging

Changes with Normal Aging

  • Visual Changes

  • Motor Changes

  • Cognitive Changes

  • Medications

  • Changes occur gradually over time—Person may not be aware of changes


Common diseases

Common Diseases

  • Stroke

  • Parkinson’s Disease

  • Diabetes

  • Arthritis

  • Dementia

  • Low Vision


We have identified the population how do we identify those at risk

We have identified the population, how do we identify those at risk?


Early warning of driver problems

Early Warning of driver problems

  • Incorrect signaling

  • Trouble navigating turns

  • Moving into the wrong lane

  • Confusion at exits

  • Parking inappropriately

  • Hitting curbs

  • Driving at inappropriate speeds


Early warnings cont

Early Warnings cont.

  • Delayed response to unexpected situations

  • Not anticipating dangerous situations

  • Increased agitation or irritation when driving

  • Scrapes or dents on car, garage or mailbox

  • Getting lost in familiar places

  • Near misses


Early warning cont

Early Warning cont.

  • Ticketed moving violations or warning

  • Car crash

  • Confusing brake and gas pedals

  • Stopping in traffic for no apparent reason

  • Turn signal and shift lever confusion


We have an idea who is at risk what can be done

We have an idea who is at risk, what can be done?


Options for addressing driving

Options for addressing driving

  • Report to State of Michigan

  • Driving Evaluation

  • Refrain from driving


Report to state of michigan

Report to State of Michigan

  • OC88 form

  • Sited into Driver Assessment

  • Driving suspended

  • Must provide favorable information from physician

  • Must pass vision and written test

  • Must pass road test


Outcomes

Outcomes

  • Drive without restrictions

  • Drive with restrictions

    • Radius of home

    • No expressway

  • No driving, license suspended


Mfb driver rehabilitation program

MFB Driver Rehabilitation Program

  • Addresses needs of older driver as well as individuals with disabilities or requiring transportation assessments

  • Collaboration between Occupational Therapists and Driver Educators

  • Provides both clinical and on-road assessment


Referral information

Referral Information

  • Physician’s prescription

  • Valid license or permit

  • Funding


Cme 1 older driver evaluation

Behind the Wheel Assessment

CME 1 – Older Driver Evaluation

  • Clinical Evaluation

    • Interview

    • Vision Screen

    • Informal Motor Assessment

    • Perceptual/Cognitive Testing

    • Observation


Cme 1 behind the wheel evaluation

CME 1 – Behind the Wheel Evaluation

  • RE 1

  • RE 2

  • Way-finding/Home area


Outcome

OUTCOME

  • Pass

  • Fail

  • Training

  • Documentation


Addressing the needs of the older driver

Pass

  • Report results of the evaluation to the physician

  • Recommend return to independent driving


Addressing the needs of the older driver

Fail

  • Report the results to the physician

  • Recommend that the physician and/or family report the results of the evaluation to the Secretary of State


Behind the wheel training

Behind the Wheel Training

  • Refresh driving skills

  • Prepare for a SOS Road Test

  • A road test with the Secretary of State is required to add adaptive equipment or restrictions to a driver’s license


Behind the wheel training cont

Behind the Wheel Training, cont.,

  • Restrictions

    • Limited distance

    • No freeway

    • No night driving

    • Adaptive equipment


Behind the wheel training cont1

Behind the Wheel Training, cont.,

  • Adaptive Equipment

    • Steering spinner

    • Left foot accelerator

    • Right side auxiliary controls

    • Special mirrors

    • Extended foot pedals

    • Hand controls


Documentation

Documentation

  • Results of the evaluation is documented in a formal report

  • The report is sent to the referring physician and to the client

  • The report becomes a part of the client’s medical record


Refrain from driving alternative transportation

Refrain from driving - Alternative Transportation

  • Family support

  • Public transportation is often not an option for the elderly especially with dementia

  • Provide transportation for leisure activities as well as necessary appointments

  • Change in lifestyle


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