Oct. 18, 2019 from 12-1PM EST join presenters Dr. Gary Nagile and Dr. Mark Rapport as they describe dementia-related driving risks, review recent changes to Fitness to Drive reporting policy in Ontario, and discuss how to interpret and deal with these changes in clincial practice. To learn more or to register click here.

On May 25, 2018 Roop Sandhu gave this presentation overviewing the South Frontenac SALT program, it's mission and role in assisting community dwelling seniors to age-in-place. 29 slides. Last reviewed May 2018.

This report presents key findings on physical, mental, and social aspects of aging using data collected from 50,000 Canadians aged 45-85. It highlights insights related to: physical and psychological health, loneliness and social isolation, caregiving and care receiving, transportation and mobility, work and retirement, physical function, disability and falls, lesbian, gay and bisexual aging, and lifestyle and behaviour, among others. 210 pages. Last reviewed May 2018.

Accurate information and continued research on the aging process are critical as Americans age. This brochure contains information about older Americans and attempts to dispel the myths regarding that age group. What's important to remember about people over age 65 is that while many begin to experience some physical limitations, they learn to live with them and lead happy and productive lives.

Driver safety requires more than understanding road signs and traffic laws. As you get older, you'll likely notice physical changes that can make certain actions — such as turning your head to look for oncoming traffic or braking safely — more challenging. Still, older drivers can remain safe on the road. Consider seven tips for older drivers.

*This group is no longer active

The Medically At-Risk Older Drivers Community of Practice (CoP) worked to promote the safety of older drivers behind the wheel. Driving safety is an important public health concern in Canada. While age alone is not a determinant of driving safety, we do know that with age there is an increased likelihood of experiencing a health-related change that can impact driving abilities.

Canada is seeing older drivers well into their 70s and 80s.  Although many are successfully maintaining a healthy, independent lifestyle; there are those for whom driving becomes a risk with age, as physical ability and mental fitness changes.(2)

Why is it important?

  • Seniors are the fastest growing segment of the driving population (3)
  • The leading cause of accidental deaths for persons 65 to 75 years old in Canada today is driving-related accidents (3)
  • Driving is vital to older adult’s independence (3)

Common Causes

  • Depth perception and ability to judge speed deteriorates (2)
  • Visibility at night diminishes and sensitivity to light increases (2)
  • Forms of cognitive impairment can affect the ability to perceive, organize, assimilate, process, plan, learn, judge, etc. (3)
  • Difficulty with mobility, flexibility, motor coordination or grip (3)
  • Medications may increase driving risk (e.g. side effects of drowsiness) (2)

Key Considerations

  • Arthritis, Parkinson’s Disease, Alzheimer’s Disease, stroke, diabetes can impair an individual’s driving ability (1)
  • Some medications interfere with your ability to drive safely (e.g. sleep aids, medicine to treat depression, antihistamines   for allergies and colds, strong pain-killers, and diabetes medications; consult physician about medication - both prescription and over-the-counter drugs to reduce side effects and interactions (4)
  • Have your eyes checked once a year and wear corrective lenses if needed (4)
  • Have hearing assessed when signs of hearing loss are present (2)
  • Exercise regularly to maintain and improve strength and flexibility (4)
  • Drivers and family members can consult the Information for Older Adults brochure from Canadian Association of Occupational Therapists:
    (http://www.olderdriversafety.ca/documents/CAOT%20Eng%20OLDER%20ADULTS.pdf)
  • A refresher driving course could help eliminate some unsafe driving patterns and help develop new strategies (2)
  • Practice safe driving: plan ahead route, drive during daylight, avoid distractions while driving, consider the use of public transit (4)
  • Discuss safe driving in future with health professional and family members; develop driving retirement plan (3)
  • Consider stopping driving if your driving results in a serious crash or if you, your family/friends notice unsafe driving behaviours (1)

References

1.      BCAA. (2014). Older Drivers. Retrieved March 5, 2014 from:
         http://www.bcaa.com/road-safety/older-drivers/plan-to-stop-driving#tab-/road-safety/older-drivers/
         plan-to-stop-driving/medical-conditions-and-driving


2.      BC Ministry of Justice. (2013). Seniors: Mature Drivers. Retrieved March 5, 2014 from:
         http://www.pssg.gov.bc.ca/osmv/road-safety/seniors.htm

3.      Canadian Association of Occupational Therapists. (2009). Older Drivers in Canada.
         Retrieved March 5, 2014 from:  
         http://www.olderdriversafety.ca/professional/warning_signs/index.html

4.      Centers for Disease Control and Prevention. (2013). Injury Prevention and Control:
         Motor Vehicle Safety
.  Retrieved March 5, 2014 from:  
         http://www.cdc.gov/motorvehiclesafety/older_adult_drivers/adult-drivers_factsheet.html

Canada is seeing older drivers well into their 70s and 80s on the road.  Although many are successfully maintaining a healthy, independent lifestyle; there are those for whom driving becomes a risk with age, as physical ability and mental fitness changes.(2)

Why is it important?

  • Seniors are the fastest growing segment of the driving population(3)
  • The leading cause of accidental deaths for persons 65 to 75 years old in Canada today is driving-related accidents(3)
  • Driving is vital to older adult’s independence(3)

Common Causes

  • Depth perception and ability to judge speed deteriorates(2)
  • Visibility at night diminishes and sensitivity to light increases(2)
  • Forms of cognitive impairment can affect the ability to perceive, organize, assimilate, process, plan, learn, judge, etc.(3)
  • Difficulty with mobility, flexibility, motor coordination or grip(3)
  • Medications may increase driving risk (e.g. side effects of drowsiness)(2)

Key Considerations

  • Arthritis, Parkinson’s Disease, Alzheimer’s Disease, stroke, diabetes can impair an individual’s driving ability(1)
  • When appropriate, refer client for formal driving assessment(3)
  • Inform patients about medications that can cause drowsiness/impact driving ability (e.g. some sleep aids, medicine to treat depression, antihistamines for allergies and colds, strong pain-killers, and diabetes medications)(1)
  • If client has not had medical investigations (e.g., neurologist, geriatrician, optometrist/ophthalmologist, audiologist), ensure a referral is made when concern arises(3)
  • Discuss safe driving in future with patient and family members; develop driving retirement plan(3)
  • Provide resources for drivers and family members (e.g. Information for Older Adults brochure from Canadian Association of Occupational Therapists  
    (http://www.olderdriversafety.ca/documents/CAOT%20Eng%20OLDER%20ADULTS.pdf)

References

1.      BCAA. (2014). Older Drivers. Retrieved March 5, 2014 from:   
         http://www.bcaa.com/road-safety/older-drivers/plan-to-stop-driving#tab-/road-safety/older-drivers/
         plan-to-stop-driving/medical-conditions-and-driving


2.      BC Ministry of Justice. (2013). Seniors: Mature Drivers. Retrieved March 5, 2014 from:
         http://www.pssg.gov.bc.ca/osmv/road-safety/seniors.htm

3.      Canadian Association of Occupational Therapists. (2009). Older Drivers in Canada.
         Retrieved March 5, 2014 from:  
         http://www.olderdriversafety.ca/professional/warning_signs/index.html

Additional Resources

         CAOT. (2009). The National Blueprint for Injury Prevention in Older Drivers. Retrieved from:
         http://www.caot.ca/driving/driving.pdf

FASTlinks is a serices of custom google-maps that display links for elder care services in South East Ontario organized into 10 common elder care domains:Driving & Transportation,  Hearing & Vision, Cognition, Mood Disorders & Depression, Acitivities of Daily Living (ADL),Instrumental Activities of Daily Living (IADL), Mobility & Falls, Medications, Pain & Social Services.

This supplemental resource provides a quick summary of the trail making tests administration and interpretation.
It contains parts A and B and instructions in 5 Pages.  Click on this link and use the download arrow in the upper right of the screen to save on your computer.