By Jacqueline Marcell, Author of "Elder Rage"
How do I handle my elderly loved one who is a danger on the road but refuses to give up driving?
Getting an obstinate elder to give up driving can be a difficult hurdle to overcome because seniors, like all of us, don't want to give up the freedom of driving. But when you understand that seniors have a four times higher accident rate, and a nine times higher fatal accident rate, families realize the importance of acting sooner than later to prevent a catastrophe. I have lived through this nightmare and can attest to how hard it is to deal with.
My very "challenging" 85-year-old father loved to drive and had never had an accident, but fortunately, he voluntarily gave it up after his foot "slipped" off the brake, onto the gas, taking us on Mr. Toad's Wild Ride in the carport, nearly crashing into my mother's pride and joy Mustang. But then one day, the car keys were mysteriously missing and we were sure that he had snatched them. My parents' live-in caregiver, Ariana, was trapped, unable to move her car from behind his, because we knew that he'd try to drive if he got the chance. I called long-distance and tried to talk some sense into him.
"Daaad, I'm sorry you can't drive anymore. I know how much you love driving, but we can't risk an accident. What if you hurt someone? Wouldn't you feel just awful? Please give Ariana the car keys."
"I don't know where the keys are-I swear to God."
"If you won't give Ariana the keys on your own, you're forcing me to have to get them away from you forcefully. You don't want to go through that do you?" He went into a rambling rage calling me every nasty name he could think of.
I told Ariana to wait until he went to sleep and then she could probably find the keys. She was up all night trying to find them and then called me exasperated when nothing turned up. "Did you check inside his shoes?"
"Jacqueline, I swear to you, I have looked absolutely everywhere and they are not here," she said in total exhaustion.
"They're on his body then, I'm sure of it. Did you check inside little Napoleon's jacket? He kept his hand in there for a reason."
"Yeees, I patted him down and they weren't in his pockets. I can't imagine what he did with them." Hmmm, tricky little dictator.
Later? Ariana called back with a brilliant plan. "Once I finally get the car keys away from him, I'll get a copy made, and then I'll go buy "The Club", and put that on his steering wheel. That way he can keep his darn keys and he still won't be able to go anywhere."
"Wow, I'm ashamed I didn't think of that myself, Ms. Einstein-ela. Maybe try secretly asking Mom where he hid them."
Ariana tried to get Mom to rat on Dad, and for the first time ever Mom was mean to Ariana. "He's a good driver and that's our car and you can't have it, and you can't have my dining-room set either!" (Alll-righty then.)
Ariana called again, "Jacqueline, I found the baby monitor covered with a blanket so I couldn't hear them last night. It appears he's brainwashed her all night because now, she sounds just like him. You won't believe the words coming out of your mother. Here, you try to talk to her."
"Hi, Mom. You know, Dad's eyes aren't good enough to drive anymore. The doctor said he has macular degeneration. You don't want him to accidentally hurt someone do you?"
"No, of course not, honey, but Dad's never had an accident and that's our car and he's a good driver and I can drive too. And that's my Mustang out there and I can still drive her if I want. And that's my dining-room set and nobody's gettin' it!" (Alllll-righty-then again.)
The next morning, Ariana wheeled Mom to the kitchen table and waited for Dad to get up. All of a sudden they heard, "clink, clink, clink" as he shuffled to the table. "Jaaake, what's that clinking noise I hear?"
"I don't hear nothin'." Dad refused to wear his hearing aid, so, he really didn't hear nothin'.
"Jaaaake, lift up your pant leg, and I mean it? on the double!" He swore a blue streak but finally complied, and there, masking-taped to his calf, were the car keys. He refused to hand them over for hours but when Ariana refused to talk to him at all, he finally gave them up.
The next day he called me practically crying, "I know I can still drive. My license is still good for two more years. Why are you doing this to me?"
"Oh, Dad, tell you what-Ariana will take you to the DMV and you can take the eye test. If you pass it you can drive home, no questions asked, okay?" I had Ariana talk to the supervisor at the DMV and if by some fluke Mr. Magoo passed the eye test, they'd make him take the written test too. She had it all lined up and they were ready to walk out the door when suddenly he had a change of heart.
"Awhhh, never mind, you just take us wherever we want to go, Ariana. I don't really feel like driving anymore."
Mom's jaw dropped open as she looked at Ariana-completely flabbergasted. She looked back at Dad with the sternest evil eye, shook her furious finger at him and yelled, "Well? then we don't want to hear another damn word about it, honey, and I mean it now-not another word-TISK!"
Aaaand the moral of the story is: You don't have to be the bad guy if you know what to do. If the situation is critical, you need to act immediately. Have a trusted doctor check their eyes and reflexes. If they shouldn't be driving anymore, confidentially ask the physician for a letter to take to the Department of Motor Vehicles. Call and explain the situation to a supervisor. Tell your loved one that someone must have reported them driving erratically because they have to go to the DMV for a "routine" eye exam. If the DMV ends up taking the license away, you get to be the good guy, saying how sorry you are that this has happened, while assuring them of your continued support. This way, you're not the horrible person who took their last pleasure in life away.
Arrange for alternative transportation (inexpensive transportation specifically for seniors is available in many areas) so they don't feel trapped at home. Take away the car keys but if you fear that they may still try to drive, put "The Club" on the steering wheel. You might consider putting a notch in the keys so they won't work, yet they can keep the keys, which may help give them a feeling of security. Also, explain that if you sell the car, the money that is saved on insurance and maintenance can be used for their transportation needs.
Jacqueline Marcell is a former college professor and television executive who gave up her life for a year to go take care for her elderly parents. She is now an advocate for eldercare awareness and reform and the entertaining author of: Elder Rage or, Take My Father? Please! How To Survive Caring For Aging Parents.
By Jacqueline Marcell, Author of "Elder Rage"
How do I handle my elderly loved one who is a danger on the road but refuses to give up driving?
Getting an obstinate elder to give up driving can be a difficult hurdle to overcome because seniors, like all of us, don't want to give up the freedom of driving. But when you understand that seniors have a four times higher accident rate, and a nine times higher fatal accident rate, families realize the importance of acting sooner than later to prevent a catastrophe. I have lived through this nightmare and can attest to how hard it is to deal with.
PRESS RELEASE Washington, DC '“ Eleven local agencies were awarded grants today to expand older driver safety efforts in their communities. The grants were awarded by the National Association of Area Agencies on Aging (n4a) with funding support from the National Highway Traffic Safety Administration (NHTSA).
By the year 2030, the number of older Americans will reach more than 70 million, and one of every four drivers on the road will be age 65 years or older. Although older drivers are generally safe drivers, a variety of age-related physical, cognitive, and sensory changes may affect the ability to drive safely. Considering the overall aging of the population and the coinciding increase in the number of licensed older drivers, communities need to prepare for the current and future mobility needs of the growing ranks of older residents. The nation'™s 655 Area Agencies on Aging (AAAs) and 240 Title VI Native American aging programs are uniquely positioned to provide information and training on driver safety to older adults and their caregivers. Established under the federal Older Americans Act as the "single point of information" about aging issues and services in communities nationwide, AAAs and Title VI agencies are in a powerful position to promote older driver safety awareness, education, and practices at the community level.
Grantees are planning a variety of exciting initiatives to promote older driver safety and enhance senior mobility in their communities. Working in rural, suburban, and urban settings, and collaborating with a host of community partners, these agencies have developed effective and innovative plans targeted to local needs. Some of the planned activities include developing peer education/training programs; legislator and physician education; client follow-up and program evaluation; driver strength and flexibility training; and enhancing transportation options.
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The National Association of Area Agencies on Aging (n4a) is the umbrella organization for our nation's 655 area agencies on aging (AAAs) and the representative body in Washington, D.C, for the interests of 240 Title VI-Native American aging programs.
For more information about n4a, visit www.n4a.org
National Association of Area Agencies on Aging (n4a)
1730 Rhode Island Avenue, NW
Suite 1200
Washington, DC 20036
Phone: (202) 872-0888
Fax:(202) 872-0057
CONTACT: Lisa Tucker, n4a
December 14, 2004 202-872-0888
PRESS RELEASE Washington, DC '“ Eleven local agencies were awarded grants today to expand older driver safety efforts in their communities. The grants were awarded by the National Association of Area Agencies on Aging (n4a) with funding support from the National Highway Traffic Safety Administration (NHTSA).
By the year 2030, the number of older Americans will reach more than 70 million, and one of every four drivers on the road will be age 65 years or older. Although older drivers are generally safe drivers, a variety of age-related physical, cognitive, and sensory changes may affect the ability to drive safely. Considering the overall aging of the population and the coinciding increase in the number of licensed older drivers, communities need to prepare for the current and future mobility needs of the growing ranks of older residents. The nation'™s 655 Area Agencies on Aging (AAAs) and 240 Title VI Native American aging programs are uniquely positioned to provide information and training on driver safety to older adults and their caregivers. Established under the federal Older Americans Act as the "single point of information" about aging issues and services in communities nationwide, AAAs and Title VI agencies are in a powerful position to promote older driver safety awareness, education, and practices at the community level.
The Oregon Department of Motor Vehicles, in partnership with an Older Driver Advisory Committee, conducted a legislatively-mandated study on the effects of aging on driving ability, and made recommendations to the Department of Motor Vehicles. Some of their recommendations included:
Reduce the driver's license renewal cycle from 8 years to 4 years for people age 65 or older.
Screen for not only visual, but also cognitive and functional ability, and add a screen for "Useful Field of View" to the vision test.
Increase reporting requirements for physicians, social workers, and others who come in contact with people whose driving ability may be impaired, and find ways to provide confidentiality to others who report possible problems.
Develop a self-screening tool that older drivers and their family members can use to assess impairments which may affect driving ability.
Increase efforts to make information available to the public regarding driver retraining programs, the use of adaptive devices and driving rehabilitation resources for drivers with impairments.
The Oregon Department of Motor Vehicles, in partnership with an Older Driver Advisory Committee, conducted a legislatively-mandated study on the effects of aging on driving ability, and made recommendations to the Department of Motor Vehicles. Some of their recommendations included:
Reduce the driver's license renewal cycle from 8 years to 4 years for people age 65 or older.
Screen for not only visual, but also cognitive and functional ability, and add a screen for "Useful Field of View" to the vision test.
Increase reporting requirements for physicians, social workers, and others who come in contact with people whose driving ability may be impaired, and find ways to provide confidentiality to others who report possible problems.
The Hartford Financial Services Group, Inc., the MIT Age Lab and Connecticut Community Care, Inc., have developed a guide to Alzheimer's Disease, Dementia and Driving as a tool to help individuals and caregivers determine when it is time to stop driving. The guide points out that many older adults who don't have dementia can assess their driving without family intervention and make gradual changes to the way they drive as they are impacted by problems with eyesight or slower reaction times. It's different for those with Alzheimer's Disease and other dementias. The progression of this disease is usually gradual and somewhat unpredictable. It affects cognitive functions critical to driving, such as judgment, reaction time and problem-solving abilities. It can also cause physical and sensory problems that increase driving risk. With dementia, an individual's capacity to assess his or her driving abilities may also diminish. People with dementia are especially likely to minimize the complexity of driving and overestimate their abilities. As driving and assessment skills decline, the risk of serious loss or injury increases. Caregivers must assume the responsibility for monitoring and regulating the driving of the person with dementia, and this guide is a resource to help them do so.
The Hartford Financial Services Group, Inc., the MIT Age Lab and Connecticut Community Care, Inc., have developed a guide to Alzheimer's Disease, Dementia and Driving as a tool to help individuals and caregivers determine when it is time to stop driving. The guide points out that many older adults who don't have dementia can assess their driving without family intervention and make gradual changes to the way they drive as they are impacted by problems with eyesight or slower reaction times. It's different for those with Alzheimer's Disease and other dementias. The progression of this disease is usually gradual and somewhat unpredictable. It affects cognitive functions critical to driving, such as judgment, reaction time and problem-solving abilities. It can also cause physical and sensory problems that increase driving risk. With dementia, an individual's capacity to assess his or her driving abilities may also diminish. People with dementia are especially likely to minimize the complexity of driving and overestimate their abilities. As driving and assessment skills decline, the risk of serious loss or injury increases. Caregivers must assume the responsibility for monitoring and regulating the driving of the person with dementia, and this guide is a resource to help them do so.
The number of older drivers (aged 70 and above) killed in crashes nationwide increased by 39% from 1989 to 1999 at the same time that overall fatalities declined by 9%, according to a new study released today by a nonprofit transportation research group. The Road Information Program (TRIP) report, "Traffic Safety And Older Americans: Making Roads Safer For Motorists," also identified specific roadway improvements that can help reduce older driver fatalities. Among those improvements are clearer signage and larger lettering on signs; overhead indicators for turning lanes; better street lighting and wider lanes and shoulders, particularly at intersections.
William M. Wilkins, executive director of The Road Information Program (TRIP) said that improved transit service has a role to play, but it is important to focus on roadway safety improvements because 92% of all surface travel by older citizens takes place in motor vehicles. He said, "It is important for older drivers to be able to maintain the freedom that is provided by the mobility that comes from using motor vehicles and to be able to do so in a safe driving environment. It makes sense to improve lighting, have better signage and separate left-turn lanes with adequate width at intersections because those improvements help address problem areas that older drivers have. These improvements have the added benefit of helping all drivers, regardless of their age."
TRIP's older driver fatality figures are based on newly released National Highway Traffic Safety Administration (NHTSA) data, and the roadway safety improvements identified by TRIP are primarily based on The Older Driver Highway Design Handbook published by the Federal Highway Administration.
The number of older drivers (aged 70 and above) killed in crashes nationwide increased by 39% from 1989 to 1999 at the same time that overall fatalities declined by 9%, according to a new study released today by a nonprofit transportation research group. The Road Information Program (TRIP) report, "Traffic Safety And Older Americans: Making Roads Safer For Motorists," also identified specific roadway improvements that can help reduce older driver fatalities. Among those improvements are clearer signage and larger lettering on signs; overhead indicators for turning lanes; better street lighting and wider lanes and shoulders, particularly at intersections.