For adults driving is the main form for an independent locomotion. In 2011, there were 35 million license holders ? 65 years, including numerous ? 80 years (percentage of drivers depending on age and gender) in the US. A progressive disease that affects driving in older adults may have two important main complications: injury or death resulting from an auto accident or cessation with driving. Percentage of drivers depending on age and sex Age Men Women 60-69 95.1% 88.2% 70-79 90.8% 77.1% 77.4% 52.4% ? 80 Adapted from US Department of Transportation 2009 National Household Travel Survey. Older drivers have on average less car accidents than drivers of all other age groups. However, since the mileage performance each year with age back (Mileage per year and license holders based on the age, 2003), the accident rate per kilometer at ? 70 years of drivers is higher than for drivers of all other age groups, with the exception of <20 year olds (car accidents per 100 million miles driven (by age group 2008-2009).). The general vehicle-related death rate for older adults has been reduced, as for people of all ages is the case (death rate in car accidents (by age group 2002-2011).), Probably due to improved vehicle technology in accidents, improved trauma systems and road improvements. Older drivers also have the absolute lowest accident rate per year. However, the oldest driver (> 80 years) have the highest traffic death rates per 100,000 population in all age groups have a higher incidence of certain car accidents because of their lower absolute number of car accidents. In 2008> 5500 older adults were killed in the US due to car accidents and hurt> 183,000. Mileage per year and license holders based on the age, in 2003 Age of driver kilometers per year 16-19 10,049 20-34 22,063 35-54 24,329 55-64 20,162 ? 65 13 277 Taken from U.S. Department of Transportation 2009 National Household Travel Survey. Car accidents per 100 million miles driven by age group (2008-2009). Picture of Online Auto Insurance News; Used with permission. Available at http://news.onlineautoinsurance.com/consumer/aaa-study-older-drivers-98576. Data adapted from: AAA Foundation for Traffic Safety. Death rate in car accidents by age group (2002-2011). Adapted from: National Highway Traffic Safety Administration’s (NHTSA) Safety Facts 2011. Available at http://www-nrd.nhtsa.dot.gov/Pubs/811745.pdf. Safe driving requires the integration of complex visual, physical and cognitive processes, and some older drivers may experience mild to moderate have deficits in one or more of these areas. Many older drivers adjust their behavior successfully themselves and compensate deficits by avoiding rush-hour traffic, drive less kilometers per year, limit trips on shorter distances and avoid, at dusk, at night or in inclement weather to drive. Older drivers drive tends to be cautious, slower and less risky. Some older adults, however, continue to drive, despite significant impairment of driving ability, it is because they deny this, have a dementia or had a strong desire to preserve their independence. Most car accidents involving older drivers occur during the day and on weekdays. Reasons for car accidents are often missing the right path, failure to comply with stop signs or red lights or not to remain on the right track track; they tend to occur in complex driving situation to (z. B. when crossing intersections, the hammering of left turns or the threading on the market). several vehicles at car accidents tend to participate, and they tend to result in serious injuries and fatalities. Unlike younger drivers playing alcohol, write text messages, cell phone use and speeding rarely a role in car accidents involving older drivers; However, this situation may change in future aging cohorts. In car accidents older adults seem to be more prone to injury, because you may be less able to withstand less trauma. They often have more comorbidities. In many auto accidents, the impact made on the driver’s side (they come for. Example, when turning left in front), which makes the driver more vulnerable and therefore hurt more likely the driver. More often than younger drivers rather very old cars can be driven on impact protection without airbags or other improvements. Assessment Health professionals are in decisions about. Driving involved when deficits were found during a routine examination, a serious medical condition or disease is present, ask patients to counseling, family members express their concern or if law enforcement agencies show safety-endangering driving behavior. Doctors have the task of carrying out detailed functional and medical examinations in terms of driving safety (Functional Assessment of older drivers and Medical senior driver clarification). Another useful resource is the American geriatric Association’s Physician’s Guide to Assessing and Counseling Older Drivers. The history as a driver should be rolled up; Details about driving habits and past offenses, car accidents, near-accidents or loss of orientation can view general or specific impairments. Among the warning signs of Alzheimer’s Association for unsafe driving include the following: Finding more familiar destinations is forgotten Failure to observe traffic signs decisions while driving only slowly or insufficiently taken driving with undue speed While driving angry or confused becoming At curbs not push the road track meet at junctions commit errors confusing the accelerator and brake pedals Late return to a routine trip forget the destination while driving some impairments, the doctor is obliged to refer a patient for further tests or issuing bans on the driving license office. (See National Highway Traffic Safety Administration [NHTSA] Physician’s Guide to Assessing and Counseling Older Drivers for state licensing requirements and reporting regulationsbei.) Conclusion The number of older adults is increasing rapidly. quit driving, is inevitable for many older people and may result in a negative output by itself (eg. as social isolation, depression, less approached destinations). Age- and disease-associated changes in physical, motor, sensory and cognitive function affect the ability to drive and are involved in the increase in the car accident rate per kilometer driven. Many older drivers adjust their behavior themselves. Older adults are more prone to car accident injuries than younger ones. Doctors have to communicate effectively to older drivers and their family members the task to make functional and medical investigations that can help to determine the driving safety as a whole, and recommendations. State licensing and reporting requirements that affect older drivers are available from the National Highway Traffic Safety Administration.

Health Life Media Team

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