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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

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
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
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 AssessmentCME 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
slide21
Pass
  • Report results of the evaluation to the physician
  • Recommend return to independent driving
slide22
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