Archive for the ‘senior driving’ Category

"I WAS JUST ADJUSTING THE HEAT"

Monday, October 27th, 2008

Last November, I awoke to a phone call from my mother on an early Saturday morning telling me that she thought that she was having a heart attack. Her voice sounded weak and almost inaudible. Pure panic struck as I struggled to remember her address and apartment number. I managed to ask if her door was unlocked (I couldn’t remember where I had put her spare key) before I told her that I would call 911 and get there as fast as I could. When I arrived, two ambulance workers were loading her onto a stretcher. She was pale and grasping her chest. Later at the hospital, we learned that she had suffered a heart attack. After a week in the hospital and two weeks in rehabilitation, she came to stay with me a few days over the Thanksgiving holiday.

On the Sunday after the holiday, she announced that she was ready to return to her apartment. I had concerns because she still seemed weak and would fall asleep at the table while I was talking to her. She assured me that she was fine and that she was ready to drive home – a ten-minute drive. She had insisted that we keep her car at our house for safekeeping. My husband offered to drive her, and I would follow in our car. My mother is a very independent person and would not have it. She did agree to let me follow her in my car.

My husband warmed up her car, and she climbed behind the wheel. As I followed her down the street, I kept seeing her head and trunk go forward and she crossed the centerline five times. The same panic that struck me the morning of her heart attack was back full force. I attempted to motion for her to pull over into a parking lot. I struggled to get my cell phone out of my purse to call my husband – I still don’t know what I expected him to do. I was angry with myself for letting her control this situation against my gut feelings. After all, I am a driving rehabilitation specialist and should have known better.

It seemed like hours (actually only ten minutes) before she pulled into her apartment parking lot with me right behind her. As she opened her car door, I was already beside her car assessing the situation. She greeted me with a smile, and I greeted her with a “what in the heck were you doing?”
She laughed at me and stated “I was adjusting my heat – I just could not seem to get it set right.” I explained to her that it is not okay to cross the centerline, and she responded that she would not have crossed the line if someone were coming.

I learned a couple of important lessons last November. Keep addresses, phone numbers, keys, etc. accessible because you can’t think when you are in a panic. When it comes to my mother, I am going to go with my gut. It was a horrible feeling to think that I might have made a decision that resulted in her hurting herself or others.

Submitted by Laura Noblitt, OTR, Driver Rehabilitation Specialist

LET'S JUST STOP AND GET SOME MILK

Monday, October 6th, 2008

One of the most difficult things that I have to do as a Driver Rehabilitation Specialist is to recommend driving retirement to a client. I realize the huge impact that stopping driving has on an individual and their family. This recommendation is only made after much testing, observing and consulting. I recently had a gentleman that I was working with at the request of his neurologist. His family had some concerns but thought that their father was actually doing better since his discharge from the hospital.

This gentleman did quite poorly on the in-clinic evaluation and even worse on the behind the wheel. During the drive, he turned into oncoming traffic at an intersection, stopped at a green light with heavy traffic behind him and accelerated through a red light when the cars next to him started to move (they had a green turn arrow). Finally, on the way back to the office, I had to apply the brake when he made no attempt to slow from 40 mph with traffic stopped at a light right in front of us.

I gave him and his family the retirement news. I met with him the next day to set him up with transportation options to be able to go to the grocery, his church and to his numerous upcoming doctor appointments. He was most concerned about an important cancer check appointment that he had the next day. His family was out of town and unable to take him. Having no appointments scheduled the next morning; I volunteered to take him to this appointment. On the way back to his apartment, he asked me to stop at a grocery so that he could get some milk. I waited in the parking lot as he reminded me that he was “not totally helpless”. A few minutes later, he emerged from the grocery and placed his milk in the back seat. At this point, he informed me that he had one more stop to make – the bank. He directed me to where he thought that his bank was located. Unfortunately, the bank was not at this location. He looked at me and stated, “Oh well, lets forget the bank and go get some milk.”

It occurred to me that the time that I had spent with him that morning taking him to his appointment and on his errands was as telling as the time that I had spent with him behind the wheel. If families are seeing these types of memory problems, they may well be affecting their loved one’s ability to drive. Submitted by Laura Noblitt, OTR, DRS

SENIOR DRIVER EVALUATION AND SCREENING OPTIONS

Monday, September 29th, 2008

As a Driver Rehabilitation Specialist (DRS), I am frequently asked the following question: Why would I need an evaluation by a DRS when I could just attend a driver refresher course?

There are many online and classroom courses offered for older drivers. Organizations such as AAA and AARP are promoting the need for mature drivers to self evaluate and refresh their driving skills. Driving courses educate consumers regarding the physical, visual and cognitive changes that may occur with age and offer ways to improve driving safety. Also, drivers may receive a refresher course on rules of the road as well as tips for defensive driving. Some insurance companies offer a discount for participation in approved refresher courses.

As we age, certain functions related to driving skill may decline. These may include vision, hearing, cognition, reaction time, physical ability and loss of sensation. These changes may warrant an evaluation by a DRS.

A DRS is a person who has received specialty training in the areas of comprehensive driver evaluation, adaptive equipment and vehicle modification. Many occupational therapists have taken this specialty training and are helping people maintain their independence behind the wheel. Occupational therapy practitioners have the knowledge and experience needed to recognize changes that accompany medical conditions. They can then develop a plan that might include training and/or equipment recommendations.

While a driver refresher course is important in helping an older driver perform a self assessment of skills and identify potential areas of concern, a DRS is able to determine if these concerns warrant intervention to assure driver safety.
Submitted by Laura Noblitt, OTR, DRS; Senior Driving & Mobility Services, LLC