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Older Drivers Should Take Extra Precautions
Health Talk & You
Michael Wade, Ph.D.
The Pilot-Independent
Last Updated: Friday, November 07th, 2003 01:06:24 PM

You've seen the news. This summer in California, an 86-year-old man accidentally drove into a farmers' market, killing
10 and injuring dozens. Last month in the Twin Cities, an 88-year-old woman crashed her car into three others, killing
an elderly couple.

A recent study found that Wisconsin's oldest drivers have a higher accident rate per miles driven than every other age
group except for those 20 and younger.

So, are some people too old to drive?

There's no simple answer. It's no secret that as we age, our physical abilities decline. But the rate of decline varies
by individual. Also, we acquire experience and, hopefully, wisdom as we age, while also becoming more cautious.

However, elderly people tend to have slower response times which can cause problems when driving.

Deteriorating vision is another health concern for senior drivers. Cataracts, for example, cause vision to be blurred
and heighten a person's sensitivity to light, resulting in difficulties in driving at night. Glaucoma impairs a
person's peripheral vision, and macular degeneration causes loss of central vision.

Other health conditions common to seniors that can affect driving are these.

• Dementia and Alzheimer's, which cause sufferers to be confused.

• Arthritis, which can hinder a drivers' ability to turn the steering wheel, look over his or her shoulder or check
rear-view mirrors.

• Sleep apnea, which is two times more common in seniors than the general population.

• Diabetes, which can leave one feeling disoriented and shaky.

• Parkinson's disease, which can cause rigidity and slowness of movement.

• Stroke, the after-effects of which can lead to diminished muscle control and balance.

• Medications, which can cause harmful side effects, such as drowsiness.

Watch for the warning signs. If you or a loved one fail to come to a complete stop at stop signs, get honked at
frequently, fail to see or understand traffic signs, become increasingly nervous at busy traffic intersections or
simply become too afraid to drive, you should consider alternative means of transportation.

Some general tips to help ensure safer driving include having your vision and hearing tested regularly, knowing and
understanding the medications you are taking and their potential side-effects, staying physically fit, not driving
under stressful conditions, planning your route in advance and driving an appropriate vehicle.

Seniors should also keep their body and mind active. For example, crossword puzzles and word games may slow the loss of
brain cells in the decision-making portion of the brain. A study conducted at the University of Minnesota also found
that aerobic exercise can reduce the loss of strength, mobility, balance and endurance vital for safe driving.

If you are worried about your driving skills, or if a loved one has concerns, a visit to an occupational therapist
would be appropriate. Seniors should also consider enrolling in the AARP's driver-safety program, "55 Alive." Those who
successfully complete the course receive a reduced rate on their automobile insurance. For more information, visit
http//www.aarp.org or call (888) 227-7669.

Michael G. Wade is director of the University of Minnesota School of Kinesiology. This column is an educational service
and advice presented should not take the place of examination by a health-care professional. For more health-related
information, go to www.healthtalkandyou.com/ or look in your television listings for the weekly show "Health Talk &
You."

SOURCE: Walker Pilot Independent, MN
http://www.walkermn.com/placed/index.php?sect_rank=7&story_id=156706

Reference:

Driving Decisions
http://www.geocities.com/murraycharters/036.html

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