Citation

Morgan E. Clin. Geriatr. Med. 2018; 34(1): 107-115.

Affiliation

Division of General Internal Medicine and Geriatrics, Oregon Health and Science University, Mail Code L-475, 3181 South West Sam Jackson Park Road, Portland, OR 97239, USA. Electronic address: morganem@ohsu.edu.

Copyright

(Copyright © 2018, Elsevier Publishing)

DOI

10.1016/j.cger.2017.09.006

PMID

29129210

Abstract

Clinical assessment of fitness to drive can be a challenging part of primary care of older adults. There are no guidelines on screening for driver safety, so it falls to provider judgment on when to assess older drivers. This review offers recommendations on when to assess for driver safety based on red flag conditions, medications, acute events, and patient or family concerns. It reviews how to assess for visual, cognitive, and neuromuscular impairments and what to do as next steps for at-risk drivers once they are identified. Laws regarding driver reporting are also reviewed.

Copyright © 2017 Elsevier Inc. All rights reserved.

Language: en

Keywords

Assessment; Driving; Geriatrics; Mandatory reporting; Safety