1 / 23

Older Drivers

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.

marlow
Download Presentation

Older Drivers

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Older Drivers Prof Desmond O’Neill 18th April 2013 National Office for Traffic Medicine RCPI/RSA

  2. 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

  3. Older people safest group of drivers Older people in my clinic will have issues

  4. …a reduction of approximately 45% in the annual rate of crashes per 1000 patients

  5. Crashes/1,000/year by age

  6. Ten top tips - fitness to drive in older people

  7. 1. Be opportunistic in asking patients about driving

  8. 2. Do not assume that frail patients don’t drive

  9. 3. Consider how you can make driving safer for older patients • General fitness • Rehabilitation • Medications • Cataracts • Car Adaptations

  10. 4. When assessing, prioritise the most significant conditions

  11. Driving model • Complex mix behaviour, personality, cognition • Hierarchical model: • Strategic • Tactical • Operational

  12. 5. Use the Adelaide driving self-efficacy scale • Prudence • www.flinders.edu.au/medicine/fms/sites/rehabilitation-aged-&-extended-care/documents/Adelaide_Driving_Self-Efficacy_Scale11.pdf

  13. 6. Get a witness history where possible

  14. 7. Make use of specialist support • Occupational Therapy • Neuropsych • Specialist driving assessor • Social worker

  15. 8. Advise regular on-road testing for patients with early dementia

  16. Modified Ulysses Contract

  17. 9. Encourage anyone who witnesses dangerous driving to report it to the police

  18. 10. Remember that patients who aren’t fit to drive probably can’t use public transport either

  19. The demand for certainty is one which is natural to man, but is nevertheless an intellectual vice Bertrand Russell

More Related