age itself is NOT a good predictor of ___ ___.
driving performance
___ ___ increases at 75 even though ___ ___ decrease.
crash rate, miles driven
thorough and systematic recording of visual information; integration of oculomotor movements, visual acuity, peripheral vision and visual attention
scanning
to determine position in space of stop signs, other vehicles, other objects in driving environment
perceptual processing
memory, judgment, insight, processing speed, reaction time, attention - sustained, selective, divided
cognitive functions
what is the visual acuity requirement for unrestricted driving?
20/40 vision
stimuli outside immediate area of focus, areas of driving environment outside drivers central field of vision
peripheral vision
driving requires how many degrees of peripheral vision?
120 degrees
name 8 age-related changes affecting driving.
- changes in peripheral vision
- sensitivity to glare
- divided attention
- memory for new routes
- reaction time
- time to process info
- OA
- hearing loss
name the 3 most dangerous maneuvers for older drivers.
- left hand turn
- changing lanes
- merging
name 5 medical conditions associated with driving performance.
- diabetes
- cardiac disease
- chronic pain
- arthritis
- dementia
name 2 driving self-assessments.
- fitness to drive screening measure
- checklists for families
for caregivers and family members to assess driving risk
fitness to drive screening measure (FTDS)
- pen and paper task connecting alternating consecutive numbers and letters
- strong predictor of on road driving performance for community-dwelling older adults with a license, clients with AD and PD
TMT-B
-client asked to draw the numbers on the face of a clock and have hands read “10 after 11.”
clock-draw test
- visual field area over which information can be acquired in a brief glance without head or eye movements
- relies on both visual integrity and higher order processing ability
- computer administered and scored test
useful field of view (UFOF)
name 4 helpful hints/compensatory strategies for driving.
- leaving a large following distance
- avoiding distractions in the car
- park so you can drive forward to exit parking space
- if endurance is not a problem, park farther away in parking lot
what is the primary source of physical activity for the majority of community-dwelling older adults?
walking outdoors
___ ___ impacts physical activity level.
neighborhood walkability
- checklist designed to be used by OTs to examine outdoor fall risks near a client’s home
- constructed by conducting go-along interviews with older adults who had fallen and workshops with healthcare providers
- include weather, type of path, path materials and conditions, usable width, slope, obstructions, steps, lighting, road crossing, and social environment
assessment of the local outdoor environment for falling over
- measures neighborhood walkability related to needs of older adults
- considers functionality (structural aspects), safety (personal and traffic), destinations, esthetics
SWEAT-R
T/F - don’t have to take one’s license away in the early stages of dementia.
true
t/f - OT generalists do on-road driving tests.
false
gives family members an idea of what to look for, starting to watch the frequency of behaviors, severity with which problems are occurring that they may see, allows them to document and keep track
checklists for family members
