#110: Driver’s safety for Older Adults: When is it Time to Give Up the Keys?

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 27 August 2018

⏱️ 73 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Get schooled on driver’s safety for older adults by expert, Alice Pomidor MD, Professor of Geriatrics at Florida State University. Whether or not older adults can continue to drive is a huge problem faced by for primary care clinicians, and will remain one until driverless cars become ubiquitous. Topics covered include: how to take a driving history, red flags, physical exam, cognitive exam, and vision assessment for driver’s safety, resources, when to refer, alternate means of transportation, and the legal repercussions of reporting...or not reporting.

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Credits:

Written and produced by: Matthew Watto MD and Elizabeth Garbitelli MD Candidate 2022
Editor: Matthew Watto MD
Cover Image by: Kate Grant MD
Hosts: Matthew Watto MD, Stuart Brigham MD, Paul Williams MD
Guest: Alice Pomidor MD

Time Stamps

00:00 Disclaimer
00:35 Intro and guest bio
03:10 Guest onliner, book recommendations, and career advice
10:43 Clinical case, and the 5 Rs of clinicians responsibility
19:15 Taking a history from older adult drivers
26:28 The clinical exam for driver’s safety (cognition, vision, and MSK tests)
37:24 How can we avoid patient anger towards clinician and family members?
41:10 When and where to refer for driving evaluation
47:00 Alternative transportation
52:00 What to do if someone refuses or forgets to stop driving
59:45 Reporting requirements and legal ramifications
69:15 Take home points
72:00 Outro

Tags: driving, elderly, geriatrics, dementia, treatment, prevention, cognition, seniors, drivers, safety, crash, motor, vehicle, car, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Transcript

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0:00.0	The first time I've got this is for entertainment education and information purposes only.
0:09.2	And the topics discussed should not be used only by industry, your ordinance, and these
0:11.5	are more than used in the same expressed on the spot, as far as I know those, should not be
0:14.1	interpreted perfectly for official policy or position of agency, the psychro-possibly,
0:16.0	cash-like morons will end affiliate outreach programs, and indeed there are any in fact
0:18.4	there are none. Pretty much we are responsible for this throughout, but we should always do
0:20.2	our homework and let's know when we're ready.
0:30.2	Welcome back to the curbsiders.
0:37.2	Well, hello Matt, how are you doing?
0:39.1	I'm doing great Stuart, it's great to have you back. We uh...
0:42.4	Thanks.
0:42.8	Yeah, wow. It has been two days.
0:44.8	Two days.
0:47.6	And Paul's here too.
0:48.4	I think I'll logist week of my life.
0:49.6	Paul's here too.
0:54.4	Hi Paul. Did you want to tell the audience what this shows about that's creating a lot of extra
0:59.3	work for you this week?
1:00.8	No, it's so nice to spend time with my pals for like 10 hours out of the week.
1:04.2	It's been good.
1:04.8	So this is an internal medicine podcast that uses expert interviews to bring you clinical
1:09.5	pearls in practice, changing knowledge, and then we also do discuss a little bit about
	...

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