title: The older adult driver.
abstract: More adults aged 65 and older will be driving in the next few decades. Many older drivers are safe behind the wheel and do not need intensive testing for license renewal. Others, however, have physiologic or cognitive impairments that can affect their mobility and driving safety. When an older patient's driving competency is questioned, a comprehensive, step-by-step assessment is recommended. Many diseases that impair driving ability can be detected and treated effectively by family physicians. Physicians should take an active role in assessing and reducing the risk for injury in a motor vehicle and, when possible, prevent or delay driving cessation in their patients. Referral to other health care professionals, such as an occupational or physical therapist, may be helpful for evaluation and treatment. When an older patient is no longer permitted or able to drive, the physician should counsel the patient about using alternative methods of transportation.
authors.affiliation: Division of Geriatrics and Gerontology, Washington University School of Medicine, St Louis, Missouri 63108, USA. dcarr@imgate.wustl.edu
authors.forename: D B
authors.initials: DB
authors.lastname: Carr
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control*; D000368:Aged; D000375:Aging; D001334:Automobile Driving; D005194:Family Practice; D006801:Humans; D010353:Patient Education as Topic; D018570:Risk Assessment; D012449:Safety; D013664:Teaching Materials; D014481:United States