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Join us as Griswold Home Care’s Christopher Kelly, M.Ed., Director of Learning & Development, focuses on making informed decisions that support independence, quality of life and safety with aging and driving. There are many older adults who are excellent drivers. However, aging can cause changes in functioning that impact driving skills. As a result, the issue of aging and driving has been both an emotional and controversial topic for many years.
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Making Informed Decisions that Drive Independence and Safety
© 2013 Griswold International, LLC
© 2013 Griswold International, LLC
The Week ofDecember 2nd is Older Driver Safety Awareness Week
“AOTA's Older Driver Safety Awareness Week
(December 2-6, 2013) aims topromote understanding of the
importance of mobility and transportationto ensuring older adults remain active in the community— shopping, working or
volunteering—with the confidence that transportation will not be
the barrier to strand them at home.”
The American OccupationalTherapy Association
© 2013 Griswold International, LLC
Goals for Today• Understand the nature/scope of driving issues for older adults
• Learn how Occupational Therapists can help older adults and family caregivers with driving skills/decisions
• Access innovative tools to support safe driving, mobility and independence
© 2013 Griswold International, LLC
Marv Lawson, OTR, DRSDirector of Occupational Therapy Clinical ServicesFox Rehabilitation – Cherry Hill, NJ
Chris Kelly, MEd Director of Learning & DevelopmentGriswold Home Care
Presented by:
© 2013 Griswold International, LLC
Thank you for your courage, energy, and dedication!
Professional CaregiversHealthcare Providers
Family Caregivers Older Adults
© 2013 Griswold International, LLC
Brainwriting is…• a fun, engaging way to brainstorm• sharing as many ideas as possible within a short timeframe Brainwriting Process• Listen for our questions• When prompted, enter your solutions using the webinar chat function• Don’t overthink or agonize…There are no right or wrong answers Brainwriting Outcomes• Peer-to-peer learning and sharing• A publication that benefits older adults Important• Avoid sharing any information that you would not want others to see
BRAIN WRITINGSolutions
Orange Arrow Button: Minimizes or expands the GoToWebinar control panel.
Lit Review
Social Media
Advocacy
Solutions Webinar & Toolkit
© 2013 Griswold International, LLC
© 2013 Griswold International, LLC
A Complex Issue with Many Voices
© 2013 Griswold International, LLC
© 2013 Griswold International, LLC
“We all experience physical and mental
changes as we age…slower reaction time, night blindness,
and pain and stiffness can affect driving skills but do not need
to prohibit driving.”
AOTA
“Driving helps older adults stay mobile and independent. But the
risk of being injured or killed in a motor vehicle crash increases as you age.”
CDC
“Both the American Academy of Neurology and the Alzheimer’s Association
agree that a diagnosis of dementia is not a sufficient
indicator of driving risk. Over 75% of patients with mild
dementia are able to pass road tests and
drive safe.”AA/AAN/Gayatri Devi, M.D
© 2013 Griswold International, LLC
“It is easy to say, ‘just give up the
keys’. It is important for me to stay active, and if I
don’t drive I am stuck in the house forever. I can’t live that way.”
Quote from older adult driver
“I am worried about my dad. He has had
several ‘fender benders’ over the past year. There is always a good reason, but this never happened before. I am worried
about his safety, and the safety of others. But it is so
hard to bring this up.”
Quote from family caregiver
Learn How Aging CAN Affect Driving
© 2013 Griswold International, LLC
© 2013 Griswold International, LLC
Aging CAN cause changes in…
• Vision• Hearing• Coordination• Reflexes• Physical strength• Attention span
• Reaction time• Memory • Judgment• Emotions (anxiety) • Medications – some can affect driving
© 2013 Griswold International, LLC
Dementia CAN cause changes in…
• Memory• Concentration• Coordination and reflexes• Ability to recognize the purpose of objects• Ability to read and respond to road/traffic signs
http://bit.ly/18GYYv3
Dementia & Driving Resource Center
http://bit.ly/17Q2fqy
Family Conversations about Alzheimer’s, Dementia & Driving
© 2013 Griswold International, LLC
Warning Signs for Unsafe Driving
• Frequent "close calls” on the road• Finding dents and scrapes on the car/fences/mailboxes/etc• Getting lost, especially in familiar locations• Missing/misunderstanding traffic signals• Slow response to unexpected situations• Can’t move foot from gas to brake pedal
• Confusing the two pedals• Misjudging gaps in traffic • Having road rage • Causing drivers to honk or complain• Being easily distracted• Can’t turn around to check their blind spot • Receiving multiple traffic tickets or "warnings"
© 2013 Griswold International, LLC
Learn AboutDriving Assessments
Occupational Therapists Can Help
© 2013 Griswold International, LLC
© 2013 Griswold International, LLC
Find a DrivingSpecialist
Driving and Community Mobility Guidelines for Older Adults
The Role of the Occupational Therapist
Experts who are trained to: • Educate about the effects of aging on driving• Evaluate driving skills• Evaluate the car for adaptive equipment needs• Plan for alternative forms of transportation • Support the older adult and their family caregivers
http://bit.ly/1e5L3q4 http://bit.ly/1f7xQcH
© 2013 Griswold International, LLC
A Driving Assessment can include…
• Medical and driving history• Vision and/or hearing • Cognition (memory, judgment and speed of response)• Motor function (strength, range of motion and flexibility)• Driving ability (online/on-road/simulation)
What to Expect withDriving Assessments
Self-evaluate Your Driving Skills:
http://bit.ly/1j412XV http://bit.ly/1bCo4er
© 2013 Griswold International, LLC
Should you take a driving course?
http://bit.ly/1bMAhS6 http://bit.ly/JgE3s6
© 2013 Griswold International, LLC
Paying for Driving Specialists/Tests• Older adults typically pay out of pocket for driving assessments• Medicare and private insurance do not typically cover driving assessments costs• Average assessment cost ranges (may vary based on region) include: - Initial clinical assessment: $150-$200 - Full driving assessment: $200-$750 - One-hour driving rehab/lesson: $80-$150/hr.• Additional costs may be included for adaptive equipment
Paying for a professional assessment: http://bit.ly/190gG2h
© 2013 Griswold International, LLC© 2013 Griswold International, LLC
Develop YourAction Plan
© 2013 Griswold International, LLC© 2013 Griswold International, LLC© 2013 Griswold International, LLC© 2013 Griswold International, LLC© 2013 Griswold International, LLC
Your care teamshould include:
Primary CareProvider (PCP)
Geriatric Care Manager/Social Worker
OccupationalTherapist/
Driving Specialist/AOTA
Department of Transportation
Advocacy/Support Group
Counselor
Area Agency on Aging
Family and Friends
Driving Testing Center
Form your Safe Driving Care Team
© 2013 Griswold International, LLC
Consider Adaptive Equipment• Low-effort steering• Ribbon attached to seatbelt• Hand controlled breaks• Navigation system• Swing-out seat• Swivel Seat Cushions• Back-up camera• Extensions (Key, foot pedal, mirror, steering wheel)
http://bit.ly/1d8e3s4
Equipment That Can Empower Drivers
http://bit.ly/18qBuPP
Car-fit.org
© 2013 Griswold International, LLC
Improve/Maintain Driving Skills• Stay physically fit and active
• Take a driving course: in-person, online, or simulation
AARP driving courses:http://bit.ly/1gwntmH
Exercise for mature drivers:http://bit.ly/18JJdXi
Staying active can help:http://bit.ly/19HWkW6
© 2013 Griswold International, LLC© 2013 Griswold International, LLC
When Driving is No Longer an Option
Overcoming anger, grief and depression
© 2013 Griswold International, LLC
“Without driving, it has been found that
individuals can risk social isolation, depression, and
may lack a sense of control over their
lives.”Peggy Barco, MS, BSW, OTR/L
“Productive engagement (paid work, formal volunteering, and
informal volunteering) was negatively affected when
older adults stopped driving.”
Angela Curl, PhD
“When an older adult is given a traffic ticket or
has a minor crash, it may feel like a natural time to discuss safety in driving…
the problem is that this is when an older adult feels he or she must
defend the ability to drive, and so the conversation with family members can, unfortunately,
become argumentative.”
Mary Jo McGuireMS, OTR/L, OTPP, FAOTA
© 2013 Griswold International, LLC
Talk About It
• Talk openly/respectfully about concerns/fears• Try 1-1 vs. large group discussions• Stick to the facts vs. assumptions/stereotypes• Be positive - assume driving may be an option• Allow grieving and anger
Family Discussionshttp://bit.ly/1aVuCoo
© 2013 Griswold International, LLC
Common Driving Cessation Emotions
• Avoidance• Confusion• Shock• Fear • Frustration
• Irritation• Anxiety
• Overwhelmed• Helplessness• Hostility• Flight
• Struggling to Find Meaning• Reaching Out to Others• Telling One’s Story
• Exploring Options• New Plan In Place• Moving On• Adjusting
ANGER
BARGAINING
ACCEPTANCE
DENIAL
DEPRESSION
http://www.ekrfoundation.org/five-stages-of-grief/
• Many older adults/caregivers go through stages of grief after “giving up the keys”
© 2013 Griswold International, LLC
Coping with Emotions
• Allow time for grieving • Join a support group• Talk about your feelings• Seek counseling• Fight back! – “when one door closes….”
© 2013 Griswold International, LLC
Learn About Other Ways to Get Around
• Public transportation• Family or friends• Walking• Taxi
http://bit.ly/Jy6YYZ
Finding Transportation Services For Seniors
• Grocery stores that deliver• Community shuttle buses• Trips with places of worship • Non-medical home care• Adult day care
© 2013 Griswold International, LLC
Key Takeaways
• Aging can affect driving skills
• Occupational therapists can help to assess driving challenges and recommend solutions
• Older adults who stop driving are at risk for developing depression and isolation
• It is important to consider alternate forms of transportation when driving is not an option
• Many older adults are safe to drive
© 2013 Griswold International, LLC
Open Q&A
1. Click to expand if necessary
2. Type questions here
© 2013 Griswold International, LLC
© 2013 Griswold International, LLC
National 24x7 Care Line:
800-GRISWOLD
www.GriswoldHomeCare.com
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