For those of us who find ourselves in the “sandwich” generation , we are concerned about our teenage and young adult drivers. At the same time, we also worry about the safety of our aging parents on our curvy and sometimes slippery West Virginia roads. Statistics tell us that fatality rates for drivers begin to climb after age 65. From ages 75 to 84, the rate of about three deaths per 100 million miles driven is equal to the death rate of teenage drivers. Even more concerning, for drivers 85 and older, the fatality rate skyrockets to nearly four times higher than that for teens. If you are in that difficult position of caring for an aging parent or grandparent, the following are some signs to be looking for in evaluating your loved one’s driving safety, especially if prescription pain medicines or the onset of dementia are issues.
Ten Signs That it is Time to Stop or Limit Driving:
- Almost crashing, with frequent “close calls”
- Finding dents and scrapes on the car, on fences, mailboxes, garage doors, curbs, etc.
- Getting lost, especially in familiar locations
- Having trouble seeing or following traffic signals, road signs, and pavement markings
- Responding more slowly to unexpected situations, or having trouble moving their foot from the gas to the brake pedal; confusing the two pedals
- Misjudging gaps in traffic at intersections and on highway entrance and exit ramps
- Experiencing road rage or causing other drivers to honk or complain
- Easily becoming distracted or having difficulty concentrating while driving
- Having a hard time turning around to check the rear view while backing up or changing lanes
- Receiving multiple traffic tickets or “warnings” from law enforcement officers
Even if we know or suspect any of the above indicators to be true, do we really want to be the ones to tell an aging parent that it is time to give up the keys? As people advance in age, it seems that they are losing more than they are gaining, and giving up independence and mobility is going to be a hard blow. “Having a professional involved can keep family relationships intact,” said Pam Bartle, a driver rehab specialist at Marianjoy Rehabilitation Hospital in Wheaton, Ill. It’s a hard choice for people. They can’t imagine how they’ll manage without driving. Getting a doctor or occupational therapist involved can shift the hard choice to a neutral professional, rather than a close family member.
Insights from a Driver Safety Professional
Glenard Munson, a corporate trainer, business owner, driver safety trainer with 30 years’ experience, and award-winning author and speaker on driver safety issues shares his insights:
“One PART of the solution (I am a senior who teaches driving, both novice and remedial) is for physicians and LEO’s to enforce their own regulations requiring reporting of irregular driving. Families also have a moral obligation to report ANY family member, irrespective of age, for erroneous/irresponsible driving.
Once reported, most states REQUIRE a minimum of a written test to re-evaluate the driver in question, and/or a drive test to subjectively, (no drive test is completely OBJECTIVE), evaluate the driver’s skillset. I take many seniors and or medically-tagged drivers out for lessons, and I find that, over my 20 years+ of experience, that roughly 2/3rds of those tagged by the DMV/LEO/Doctor were correctly evaluated.
It is hard for me to tell anyone that they will need to give up their driving privilege, but an independent desire to drive does NOT outweigh the safety and security of the public at large.”
Simple Tests for Doctors to Use in Evaluating Older Drivers:
Today, the American Medical Association recommends that doctors administer a few simple tests in advising older drivers.
- Walk 10 feet down the hallway, turn around and come back. Taking longer than nine seconds is linked to driving problems.
- On a page with the letters A to L and the numbers 1 to 13 randomly arranged, see how quickly and accurately you draw a line from 1 to A, then to 2, then to B and so on. This so-called trail-making test measures memory, spatial processing and other brain skills, and doing poorly has been linked to at-fault crashes.
- Check if people can turn their necks far enough to change lanes, and have the strength to slam on brakes.
Dr. Gary Kennedy, geriatric psychiatry chief at New York’s Montefiore Medical Center, often adds another question: Are his patients allowed to drive their grandchildren? ‘‘If the answer to that is no, that’s telling me the people who know the patient best have made a decision that they’re not safe,’’ Kennedy said.
Restrictions can Prolong Driving Independence
Rather than prematurely taking away the privilege of driving from a person who may still have the ability to safely drive for several more years, individually assigned restrictions may be the answer to prolonging an aging person’s independence for as long as possible. Restrictions similar to those assigned to teenage drivers may include no driving on high-speed roads, driving outside a certain area, or driving at night. These restrictions would increase safety for those with visual impairments, prescription medication dependence, and impaired physical mobility.
The best situation, of course, is when the older driver independently comes to the conclusion that they need to limit or quit driving, but in cases involving dementia, Alzheimer’s, and plain stubbornness, a consensus of caring adults may be needed to persuade that older driver that “the time has come.” A great rule of thumb is to “let everything you do be done with love.” That principle should especially apply to those older folks to whom we need to show the most honor and respect, while at the same time, looking out for their personal safety and the safety of other drivers on the road. Remember, they had the same concerns about you when you were young!
The Dominion Post, “Families Key, but Docs have a Big Role in Driving Decisions,” AP: Lauran Neergaard, Associated Press writer Carla K. Johnson in Chicago contributed to this report,Washington, September 27, 2012.
Website: AARP: “10 Signs that it’s Time to Limit or Stop Driving,” http://www.aarp.org/home-garden/transportation/info-05-2010/Warning_Signs_Stopping.html, January 2010.