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Older Drivers. Prof Desmond O ’ Neill 18 th April 2013. National Office for Traffic Medicine RCPI/RSA. Risk in perspective. Driving at 0100 Sunday x 142 16 year old x 42 Light car x 20 Rural roads x 9 ADHD x 4 Sleep Apnoea x 2 Vision x 1-2. Marshall, 2008.

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Older drivers

Older Drivers

Prof Desmond O’Neill

18th April 2013

National Office for Traffic Medicine

RCPI/RSA


Risk in perspective
Risk in perspective

  • Driving at 0100 Sunday x 142

  • 16 year old x 42

  • Light car x 20

  • Rural roads x 9

  • ADHD x 4

  • Sleep Apnoea x 2

  • Vision x 1-2

Marshall, 2008


Older people safest group of drivers

Older people in my clinic will have issues



Crashes 1 000 year by age

Crashes/1,000/year by age crashes per 1000 patients




2 do not assume that frail patients don t drive
2. Do not assume that frail patients don crashes per 1000 patients’t drive


3 consider how you can make driving safer for older patients
3. Consider how you can make driving safer for older patients

  • General fitness

  • Rehabilitation

  • Medications

  • Cataracts

  • Car Adaptations



Driving model
Driving model conditions

  • Complex mix behaviour, personality, cognition

  • Hierarchical model:

    • Strategic

    • Tactical

    • Operational


5 use the adelaide driving self efficacy scale
5. Use the Adelaide driving self-efficacy scale conditions

  • Prudence

  • www.flinders.edu.au/medicine/fms/sites/rehabilitation-aged-&-extended-care/documents/Adelaide_Driving_Self-Efficacy_Scale11.pdf



7 make use of specialist support
7. Make use of specialist support conditions

  • Occupational Therapy

  • Neuropsych

  • Specialist driving assessor

  • Social worker





10 remember that patients who aren t fit to drive probably can t use public transport either
10. Remember that patients who aren report it to the police’t fit to drive probably can’t use public transport either


Bertrand Russell


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