Chapter
8
Time requirement of chapter: 55 minutes
THE MATURE DRIVER
Aging is inevitable, however most senior drivers are very capable drivers and have a lifetime of valuable driving experience. Their driving usually connects them to the goods, services and activities that make it possible for them to continue to live independently. As a group, persons age 65 and older are relatively safe drivers. In fact, drivers age 65 and older have a lower rate of accident involvement than drivers under the age of 25.
Among drivers over the age of 65, it is the oldest drivers who pose more risk to themselves and the public. Senior drivers have years of experience and most often make wiser decisions about their driving behavior than younger drivers. Aging is inevitable and it happens to everyone, but growing older doesn’t have to mean giving up an active life. However, older drivers experience physical changes that can affect driving ability. Changes in vision, reaction time, and flexibility all contribute to an older individual’s need to consider changing their driving behavior.
YOUR HEALTH AND THE EFFECT ON DRIVER PERFORMANCE
VISUAL LIMITATIONS ASSOCIATED WITH THE AGING PROCESS
As everyone over 40 knows, eyes change with age, and not usually for the better. Physically, each eye’s lens loses the ability to change focus quickly, peripheral vision narrows, and the retina becomes less sensitive to light.
A driver age 60 needs three times as much light to see as a teenager, and it will take more than twice as long to adjust to a change from light to darkness. The following are some common vision problems to be aware of.
1. Sensitivity to light |
5. Decrease in depth perception 6. Decrease in peripheral vision 7. Cataracts 8. Glaucoma |
VISION'S EFFECTS ON DRIVING PERFORMANCE
The following are some areas affected by reduced vision as we age:
The Reduction in Pupil Size: Inability to adjust to lower levels. Inability to see details and objects in areas of low illumination. |
Dynamic Visual Acuity Inability to see fine detail in movement. Inability to estimate speed and distance moving object. |
Accommodative Convergence Inability to see clearly at all distances. Inability to change accommodation, and focus on objects nearby. |
Central Movement in Depth Inability to perceive a change in image. Inability to detect image size of an object size in the central visual field approaching or moving away. |
Glare Threshold and the Ability to Recover Inability to see in spite of bright light. Inability to recover from a strong light source, sensitivity to glare. |
Peripheral Vision Inability to see objects or movement. Inability to detect movement or hazard outside the central vision fields to either side when looking straight ahead. |
Static Visual Acuity Inability to clearly see and distinguish. Inability to resolve detail in a stationary the details of a stationary object. |
Color Perception (yellowing of the eye lens) Inability to react or distinguish colors in the blue end of the color spectrum. Inability to discriminate different colors. |
DEGENERATIVE EYE CONDITIONS ASSOCIATED WITH AGING
The following conditions may have an effect on driver performance.
CONDITIONS | EFFECTS ON DRIVING PERFORMANCE |
Glaucoma | |
Gradual loss of visual function beginning in periphery area, with increased ocular pressure. |
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Cataracts | |
Opacity or clouding of the crystal-line lens. |
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Macular Degeneration | |
Loss of vision in the central (macular) vision area due to neurological damage. |
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COMPENSATING FOR VISUAL LIMITATIONS AND CONDITIONS
The following are some guidelines to compensate for the visual limitations associated with aging.
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HEARING LIMITATIONS ASSOCIATED WITH AGING
LIMITATIONS | SYMPTOMS AFFECTING DRIVING PERFORMANCE |
Increased Auditory Threshold | |
Loss of hearing | Inability to use auditory cues to monitor traffic and emergency situations |
COMPENSATING FOR HEARING LIMITATIONS
Below are some tips to compensate for hearing loss associated with aging.
PHYSICAL DISORDERS ASSOCIATED WITH THE AGING PROCESS
CARDIOVASCULAR SYSTEM | SYMPTOMS AFFECTING DRIVING PERFORMANCE |
Organic Heart Disease |
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Cardiac Arrhythmias |
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Hypertension Vascular Disease |
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Vascular Disease affecting the extremities |
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Vascular Aneurysms |
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Arteriolosclerosis |
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Cerebral Arteriosclerosis |
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MUSCULOSKELETAL CONDITIONS | SYMPTOMS AFFECTING DRIVING PERFORMANCE |
Arthritis |
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Osteoporosis |
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Hypertension Vascular Disease |
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Vascular Disease affecting the extremities |
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Vascular Aneurysms |
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Arteriolosclerosis |
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Cerebral Arteriosclerosis |
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COMPENSATING FOR PHYSICAL DISORDERS
Below are some ideas on ways to compensate for the physical disorders associated with the aging process.
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EXERCISES THAT CAN ASSIST OLDER DRIVERS IN MAINTAINING
FLEXIBILITY FOR THE DRIVING TASK
Below are some exercises which may help in maintaining the flexibility in making the physical maneuvers which may be required while operating a motor vehicle. Review with your physician for appropriateness.
CHIN STRETCH Move chin down to chest and slowly rotate head back and forward again. |
NECK ROTATION Turn the head slowly from side to side. |
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PHYSIOLOGIC CHANGES ASSOCIATED WITH AGING
CONDITION | SYMPTOMS AFFECTING DRIVING PERFORMANCE |
Cognitive limitations | Short-term memory loss |
Reduced neural processing and transmission | Inability to integrate and collect information simultaneously |
Reduced motor transmission or reaction time | Reduced motor transmission or reaction time |
COMPENSATING FOR PHYSIOLOGICAL CHANGES
Below are some ways to compensate for the physiological changes of aging.
EFFECTS OF MEDICATION AND ALCOHOL
MEDICATIONS WHICH IMPAIR DRIVING PERFORMANCE
COMMONLY PRESCRIBED DRUGS | EFFECTS ON DRIVING PERFORMANCE |
Analgesics (painkillers) |
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Usually prescribed for arthritis and rheumatism | Drowsiness Inability to concentrate |
Antihistamines | |
Usually prescribed for colds or allergies | Inattention Drowsiness Confusion Blurred vision Dizziness |
Anti-hypertensive’s | |
Usually prescribed for high blood pressure | Drowsiness Dizziness Blurred vision |
Oral Hypoglycemics | |
Usually prescribed for diabetes | Drowsiness Inability to concentrate |
Sedatives | |
Prescribed for "nerves" or anxiety | Blurred vision Drowsiness Loss of coordination Loss of judgment Loss of alertness |
Stimulants | |
Prescribed for weight control, depression, or fatigue. | Over-excitability False sense of alertness Confusion |
Antibiotics | |
Combating infections | Visual and auditory disturbance Dizziness |
Cardiacglycosides | |
Prescribed for congestive heart failure | Muscular weakness Blurred vision |
OVER-THE COUNTER DRUGS
Cough syrups, drops, sprays and pills | Drowsiness |
Tablets for headaches, hay fever, Colds, Allergies | Slowed Reactions Irritability Faulty judgment Blurred vision Impaired depth perception |
MEDICINE-RELATED PROBLEMS AFFECTING DRIVING PERFORMANCE
CHRONIC ILLNESS: Requires continuing medication. Medication remains in system continuously. Body tolerance. |
MULTIPLE ILLNESSES: Several different medications may be required Combined medications may produce unpredictable and strong side effects |
REACTIONS: Intense or unexpected reaction. Unknown reactions to combined medications. Patient medications may multiply side effects and reactions to prescribed medications. |
COMPENSATING FOR THE EFFECTS OF MEDICATIONS:
Consulting your physician:
ALCOHOL AND ITS EFFECT ON DRIVING PERFORMANCE OF SENIOR DRIVERS
FACTORS INFLUENCING THE EFFECTS OF ALCOHOL ON THE BODY:
EFFECTS ON THE BODY | EFFECTS ON DRIVING PERFORMANCE |
BRAIN | |
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VISION | |
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ALCOHOL'S PRONOUNCED SIDE EFFECTS ON THE AGING DRIVER:
- Slowed body functions, thought process and reflexes
- Increased visual impairment
- Likelihood of other drugs or medication being present and multiplication of side effects
CONTROLLING THE EFFECTS OF ALCOHOL:
Best - do not consume alcohol when you might drive.
CONTROLLING IMPAIRMENT:
MISCONCEPTIONS ABOUT REDUCING THE EFFECTS OF ALCOHOL:
LEVELS OF INTOXICATION AND REQUIREMENTS FOR TESTING:
All states now have minimum levels of BAC where an individual is considered impaired.
Minimum levels of intoxication. All 50 states now have .08 BAC as the presumptive limit when an individual is considered impaired to the extent that their normal faculties are considered impaired.
Again, states may vary, but all have time frames for calculating presumptive levels.
Each state has laws controlling the use of drugs, both legal and illegal and operating a motor vehicle.
Implied Consent Law
Usually each state sets the standards for their implied consent laws, but basically, the laws state that when an individual accepts the privilege of operating a motor vehicle, they agree to the testing of their blood, breath, or urine for alcohol and or other drugs.
Below are the normal standards.
ACCIDENT AVOIDANCE
HOW TO AVOID BEING REAR-ENDED BY ANOTHER VEHICLE:
HOW TO CHOOSE AN ALTERNATE PATH OF TRAVEL AS AN ESCAPE ROUTE:
WAYS TO PROTECT YOURSELF WHEN A COLLISION CANNOT BE AVOIDED:
THE SIPDE METHOD OF DRIVING:
One of the best ways to avoid being involved in an accident is to utilize the SIPDE method of driving.
This method was developed after research into accident causation.
Good defensive drivers realize we all make mistakes while driving and we drive accordingly. We are ready to react if someone does make a mistake. We realize other drivers may be under a lot of stress, and drive more aggressively, so we stay calm and do not react to their aggressive behavior. Defensive drivers know the importance of having a well-maintained vehicle. Driver education experts many times use what is called the SIPDE method of defensive driving. SIPDE stands for
Scanning, Identifying, Predicting, Deciding, and Executing.
Defensive drivers learn to scan the roadway environment, not just to the front of their vehicle, but 360 degrees around the entire vehicle. Drivers should scan to the front of the vehicle by looking 20 to 30 seconds ahead of their vehicle. While driving in an urban area, this will mean looking approximately one to two blocks in front of the vehicle. Scanning on interstates and open highways will involve looking to the next hill or curve in the road. Drivers should also scan the vehicle's rear and outside mirrors about once every 5 to 7 seconds. Scanning will help in the observation of any potential hazards on or near the roadway.
Defensive drivers who scan the roadway ahead are able to identify potential hazards before they become immediate hazards.
Defensive drivers will then predict what may happen during their travel and start to plan what may be required to avoid crashes. Predicting reduces the perception time of any hazardous condition and also reduces the amount of reaction time. In many cases this helps to avoid a collision.
If a defensive driver predicts any hazardous event about to occur, they will decide the best option to take to avoid the mishap or reduce the effect of the crash; thereby, reducing the possibility of injury and/or death.
Once a defensive driver decides on what appropriate action to take in the event of a mishap, they must be able to effectively execute the maneuver, to either prevent the crash or reduce the likely hood of causing an injury or death.
WHAT TO DO IN THE EVENT OF AN ACCIDENT
The following are some guidelines to follow if you are involved in an accident.
PLANNING A TRIP AHEAD AND HANDLING HAZARDOUS CONDITIONS
GENERAL CONSIDERATIONS IN PLANNING A LONG TRIP:
WEATHER CONDITIONS FOR TIME OF YEAR AND AREA:
TYPE OF VEHICLE AND CONDITION:
LONG TRIPS IN UNFAMILIAR AREAS:
GENERAL FACTORS FOR AVOIDING FATIGUE ON LONG TRIPS:
Sleep Disorders
Many people are not aware they have a sleep disorder. A sleep disorder might cause a driver to fall asleep at the wheel while driving.
Voluntary sleep deprivation is one of the most common sleep disorders and it is also the easiest to cure. Other sleep disorders are not as easy to diagnose or cure. Untreated sleep apnea syndrome and narcolepsy increase the risk of automobile crashes. In sleep apnea syndrome, brief interruptions of airflow and loss of oxygen during sleep disrupt and fragment sleep. The condition also is associated with loud, chronic snoring. Although people with untreated sleep apnea syndrome may not be aware of the brief disturbances, poor sleep quality often leads to daytime sleepiness. In untreated patients, involuntary 10-to-20 minutes naps are common at 2-to-3 hour intervals throughout the day, many times while driving.
RESOURCES
National Highway Traffic Safety Administration, "Drowsy Driving and Automobile Crashes,"
http://www.nhtsa.dot.gov/people/perform/human.Drowsy.html pages 4, 17
Below are some indications of a sleep disorder:
If you answered “yes” to any of the above questions, you could have a sleep disorder, and might want to consider consulting a sleep specialist or your doctor.
RESOURCES
Nerl, Wendy, “Sleepless in America,” Health Magazine, June 2001, page 62
WAYS TO PREVENT FATIGUE
PLANNING FOR DAILY TRIPS
GENERAL CONSIDERATIONS FOR DAILY DRIVING:
ROAD CONDITIONS:
TRAFFIC CONDITIONS:
WEATHER CONDITIONS:
VEHICLE MAINTENANCE:
GOING THROUGH DEEP WATER:
Never recommended - even large vehicles can be swept away - or road may be washed out.RECREATIONAL VEHICLE SAFETY
Many senior drivers also operate Recreational Vehicles and therefore this program shares some guidelines for the safe operation of RV’s.
Traveling safely should be important to everyone who plans on traveling with a motor home. Before setting out on any trip, take a few minutes to review these safety tips for a safe, trouble-free journey.
SAFETY EQUIPMENT CHECKS
Before The Trip
Make sure the RV is well maintained and ready to go before leaving. That's the first step toward having a safe, trouble-free trip.
If the RV is a rental or borrowed for a trip - have owner go over all equipment with all potential drivers.
On the Road
Be sure to note the common (yet too often overlooked) basics of safety.
Obey the speed limit, know the vehicle height before you go, and always utilize the vehicle’s safety restraint system.
Items to have available:
Severe Weather Tips
Stop as soon as possible and park in a protected area. In thunderstorms, avoid trees or power lines which could fall on your vehicle. The safest place during lightning is inside the RV. If you're in the path of a tornado, you are safest in a tornado shelter. As an alternative, you can park under a bridge overpass or exit the vehicle and wait below ground level in a ditch. Avoid parking in low areas that are prone to flash flooding.
Carry Your Insurance Information
Make sure to carry all vehicle and medical insurance contact information in the vehicle, including the vehicle insurance toll-free claim service number if available.
If you are injured in a collision, seek medical assistance first. Contact your insurance company or have someone else make the call for you, once treated at the scene.
RV Propane Safety
"Better safe than sorry," is a motto you can live with! There's no better advice when it comes to propane safety. While the RV industry has done a lot to ensure high standards regarding propane safety, propane can cause disaster if mishandled or used improperly. When propane leaks from one of the lines inside an RV, it can build up until a source of ignition (match, cigarette, spark, pilot light, etc.) causes it to explode.
An Ounce of Prevention Is Worth A Pound of Cure
You should have your motor home, travel trailer or fifth-wheel propane system inspected each year by an authorized RV dealer or by a Railroad Commission-licensed propane gas supplier.
A certified technician can check the system for leaks and for proper regulator settings, inspect the valves and fittings and certify that tanks are free from rust and dents. Any damaged equipment should be replaced immediately.
Inspect the various propane-operated appliances in the RV, including the refrigerator, stove, furnace, lanterns and other devices. Be sure that the supply lines connecting these appliances to propane tanks are the correct length and properly installed, with no supply lines rubbing against sharp edges or corners.
Properly install a Propane Leak Detector based on manufacturer instructions and check it each time you use of the RV. If you suspect your RV's propane detector isn't working properly, replace it with a new one immediately.
When Full Is Too Full
One of the most common hazards with propane is overfilled tanks. Fortunately, all small propane cylinders (up to 40-lb. capacity) manufactured after September 1998 are equipped with an overfilling protection device (OPD).
Propane tanks equipped with an OPD are designed to be filled only to a certain level, which allows the fuel to expand into the vapor space as the temperature rises. Tanks filled beyond this level may leak excess pressure through the tank's relief valve and into the surrounding air. Or, propane liquid could enter the piping system, resulting in higher than normal pressure to appliances. Both scenarios present a hazard.
If you have an old cylinder, an OPD must be installed. Cylinders without OPDs can no longer be refilled.
When refilling on-board propane cylinders, turn off the RV engine, all appliances, and electronic re-igniters. Make sure no one is in the RV during refueling.
What to Do If You Suspect A Leak
If anyone smell gas, exit the RV immediately. Don't use electric switches or appliances. Leave the door open to air out the vehicle. Close the supply valve on the propane tank, and call a propane gas supplier or the fire department. Propane has a distinct garlic aroma.
Proper Identification and Installation
Propane tanks installed in hard-to-see places must be identified by the letters "LPG" in one-inch high or larger letters. The letters must be placed in a visible spot as near the tank as possible.
Propane used with RVs is stored in one of two types of containers: DOT cylinders or ASME tanks. DOT cylinders are typically used on trailers and truck campers and must be installed vertically, while ASME tanks are used on motor homes and must be installed horizontally.
Always have your tanks refilled instead of trading in empty tanks. This ensures you know where your tank has been and how it's been treated.
Recreational Vehicle Tire Safety and Maintenance
The life of an RV’s tires is extremely important. Tires are the most vulnerable part of any RV, and the most likely to fail. On every trip you take you rely on the quality of your tires. Remember that all tires are not created equal, and that regular maintenance and precautions are the best ways to ensure you'll remain safely on the road.
Wear and Tear Factors
The main reasons for RV tire deterioration are age, improper inflation, ozone and UV exposure, and excessive load weight and uneven weight distribution. Consider the following factors.
Knowing the importance of tire maintenance is the first step, and taking the proper precautions is the next. So be good to your tires - your safety is riding on them.
LOADING
When is an RV Overloaded?
Have you considered operating or towing an overloaded RV is a major cause of RV collisions? Even a slight overload or unequal weight distribution can seriously restrict braking, steering, and taking corners.
An overweight RV also increases the danger of early failure in the RV’s tires.
If any of these RV weight problems sound familiar, you are not alone. Disturbing statistics, compiled by RV safety experts during rally weighing exercises, show that nearly two-thirds of all the RVs weighed exceed one or more of their load ratings.
Does Your Rig Need A Diet?
Simply put, the RV is overloaded if it exceeds any of the manufacturer's established limitations for total load, axle load, or tire loading. The gross vehicle weight rating (GVWR) is the maximum amount the RV can safely carry. It includes both the wet weight (fuel, water, waste) and the cargo weight. Be sure to check the owner's manual for weight limitations.
Recent Recreational Vehicle Industry Association (RVIA) weight-labeling requirements makes it easier for new RV buyers to judge weight and carrying capacity. When in the market for a new motor home or travel trailer, this information can be very helpful. But if you are already an RV owner, there are important steps that can be taken toward safer weight distribution.
If you have been gradually accumulating more and more "stuff" over the years, it's probably time to put the RV on a weight reduction program. First you need to take a trip to the scales. Don't guess at the RV’s load weight, it is easy to underestimate by hundreds of pounds. Look in the Yellow Pages under "Scales, Public" to find the location of scales nearest you.
Be sure to weigh the RV when it is fully loaded including fuel tank. It is also important to weigh each axle separately. After the weigh-in you might be surprised at how quickly the combined weight of your passengers and all the "stuff" adds up to more than expected.
Lightening That Load
If the RV turns out to be overloaded, check it over from top to bottom and consider what's necessary and what's not. Just because the RV has a lot of shelves, drawers and other storage space doesn't mean they have to be filled to capacity. If possible, remove all belongings, then repack with only the items that are really required for this trip. When reloading, remember to store heavy items low and forward, lightweight articles high.
Be sure heavy items can't slide into the water pump or other fixed equipment. Try to balance the load between the two sides of the RV. A simple measurement of clearances ground to bottom of RV on both sides can aid in proper balance. Swing, sway or wobble can be minimized if you keep the vehicle's center of gravity low. When loading a motor home or travel trailer, make sure everything has a place and is easy to get at when needed. Experienced RV operators prepare a packing map / checklist of luggage and storage areas for easy access. Secure all cargo inside and outside the vehicle. Anything rattling around loose is a potential hazard, as well as noisy. Consider using storage boxes.
CLEARANCE HEIGHTS:
ALLOWING FOR EXTRA TIME AND DISTANCE:
DRIVER COURTESY:
SPECIAL:
WHEN TO STOP DRIVING
How do you know when it is time to stop driving? Many of us wait until we are forced to stop by a family member or law enforcement.
Take a look at these eight signs of trouble and determine if and when you might consider it time to stop.
ALTERNATIVES TO DRIVING
Ending your driving career is not the end of the world. There are alternatives. Below are some suggestions to consider.
TESTING YOUR DRIVING IQ
Question 1 | Drivers age 55 and over, compared with drivers age 30-54, are involved in:
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Question 2 | If you are planning to make a left, turn across an intersection, and you are waiting in the middle of the intersection for a break in oncoming traffic, your front tires should be turned:
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Question 3 | You want to change lanes. You can see if another vehicle is in your blind spot:
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Question 4 | The best response to a "Roadwork Ahead" sign is to:
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Question 5 | If you take medication before driving, the most important thing for you to do is:
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Question 6 | The measure to be used by the driver age 55 and over who is following a vehicle under good road conditions is:
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Question 7 | When backing up, it is usually best to:
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Question 8 | Frequent use of mirrors on a car is especially important for those drivers who:
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Question 9 | What is the Number 1 traffic violation committed by drivers age 50 and over?
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Question 10 | What is the Number 2 traffic violation committed by drivers age 50 and over?
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