geriatrics
Overview of the Older Driver
Key Points
Driving cessation is inevitable for many older adults and can have negative outcomes (eg, social isolation, depression, fewer driving destinations). Age-related and disease-related changes in physical, motor, sensory, and cognitive function can impair driving ability and account for some of the increase in motor vehicle crash (MVC) rates per miles driven in older drivers. Many older drivers self-regulate their behavior. Older adults are more vulnerable to injury and death in an MVC than other are age groups. In-office tests and cognitive screens can identify at-risk drivers who need further assessment, but these tests are neither sensitive nor specific enough to be the sole determinant of driving ability. People with dementia who are deemed fit to continue driving should be re-evaluated every 6 to 12 months (or sooner if indicated). 