geriatrics
Functional Assessment of the Older Driver
Introduction
Adequate visual, motor, and cognitive abilities are needed to drive safely and require functional assessment to identify deficits. Some of these assessments can be done by primary health care practitioners, but specialists (eg, ophthalmologists, neuropsychologists, subspecialists, occupational and physical therapists, driving rehabilitation specialists) may need to be consulted. Identified deficits may require driving-related Interventions With the Older Driver , including driving rehabilitation, assistive devices, reporting to the state Department of Motor Vehicles, driving restrictions or cessation, or a combination. Some complicated cases may be referred to state medical advisory boards. It is important to note that driver's license renewal policies, medical reporting policies to the Department of Motor Vehicles (DMV), and actual driving requirements vary by state, within nations, and internationally. Familiarity with local licensing regulations and guidelines is essential when making recommendations regarding driving. A useful resource in the US is the American Geriatrics Society'sClinician’s Guide to Assessing and Counseling Older Drivers, 4th Edition. (See also Overview of the Older Driver .) 