Spotlight on Aging: Are Your Parents Too Old to Drive?

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Lee Health

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Apr 01, 2021

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Florida - Southwest

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A Map for determining if your elderly parent should quit driving.
An automobile driver in city traffic typically makes about 200 driving decisions per mile. Most of us are hardly aware that were checking mirrors and gauges, slowing down, speeding up, signaling, changing lanes, keeping the proper following distance, and so on, while we drive.
These driving decisions seem to come naturally with practice and experience.
But as we age, the benefit of driving experience may become less a factor in driving safety. Mobility issues, vision changes, and hearing loss begin to affect our ability to drive safely.
Sure, many seniors continue to drive safely in their 80s and even early 90s because they've adjusted to their limitations.
Some wont drive after dark due to night vision issues, others wont drive during rush hour because of slower reflexes to more complex driving situations, and so on.
But what if you have an aging parent who refuses to heed their obvious driving limitations and continues to drive, putting themselves and others at risk? How do you know when the time has come for them to stop driving, and what should you do about it?
Driving helps older adults stay mobile and independent, but the risk of being injured or killed in a motor vehicle crash increases as people age, says Jennifer Cittadino, an advanced practice registered nurse with Lee Health Geriatric Medicine.
According to the National Highway Traffic Safety Administration (NHTSA), about 500 older Americans are injured every day in crashes. That's why its so important for family members to monitor their aging parents driving abilities and habits.
Determining your parents ability to drive safely can help ensure their independence, but more importantly, also their health, Cittando says.
Experts say that seniors who lose their ability to drive may begin to isolate, which can lead to poor nutrition, health problems, and depression.
Identify the warning signs
If your  able to ride along with a parent to look for signs of poor driving, remember that it doesn't automatically mean your parent shouldn't drive.
Your parents poor driving behaviors may be related to an underlying physical condition, such as diminished eyesight or hearing both often correctable by eyewear and assistive hearing devices.
Also, your parent may also take medications that can affect their driving skills. Medication side effects such as drowsiness and lightheadedness can impair decision making. Your parent should talk with their doctor or pharmacist to learn how their medications can affect their driving.
What to look for

Does your parent confuse the gas and brake pedals or have difficulty working them? Drivers who lift their legs to move from the accelerator to the brake, rather than keeping a heel on the floor and pressing with the toes, may be signaling waning leg strength.
Does your mom or dad seem to ignore or miss stop signs and other traffic signals? Perhaps your parent is inattentive or cannot spot the signs in a crowded, constantly moving visual field.
Does your parent weave between or straddle lanes? Signaling incorrectly or not at all when changing lanes can be particularly dangerous, especially if your parent fails to check mirrors or blind spots.
Do other drivers honk or pass frequently, even when the traffic stream is moving relatively slowly? This may indicate difficulty keeping pace with fast-changing conditions.
Does your mom or dad get lost or disoriented easily, even in familiar places? This could indicate problems with working memory or early cognitive decline.

Source: NHTSA
If you're unable to observe your parent driving, watch for these signs:

Multiple vehicle crashes, near misses, and/or new dents in the car
Two or more traffic tickets or warnings within the past two years; increases in car insurance premiums because of driving issues
Comments from neighbors or friends about driving
Anxiety about driving at night
Health issues that might affect driving ability, including problems with vision, hearing, and/or movement
Complaints about the speed, sudden lane changes, or actions of other drivers
Recommendations from a doctor to modify driving habits or quit driving entirely

Source: National Institute on Aging
If your parent exhibits any of these warning signs, talk with them about getting a comprehensive driving assessment, Cittadino says, citing a recommendation of the NHTSA.
A driving assessment can help identify and address any risky driving behaviors, she says. The goal, of course, is to maximize their safe driving.
How to Have 'The Talk 'About a Parents Driving
Understandably, talking with a parent about their driving can be difficult. Here are some tips to help:

Be prepared. Identify the person's transportation needs. Learn about local services that can help the parent who can no longer drive. The goal is to help your parent continue the activities they enjoy while staying safe and maintaining their independence. For example, you might say, "I'll help you figure out how to get where you want to go if driving isn't possible."
Use "I" messages rather than "You" messages. For example, say, "I am concerned about your safety when you are driving," rather than, "You're no longer a safe driver."
Be positive and supportive. For all of us, our driver's licenses are symbols of personal freedom. Understand that a parent may become upset at losing their driving privilege. "I understand that this may be upsetting" or "We'll work together to find a solution," are helpful.
Stick to the issue. Discuss the driver's skills, not their age.

Submitted and Written By: Lee Health - click here for more information

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Health Fitness and Enrichment CenterAddress: 1717 Dauphin Street, Mobile, AL 36604Main Phone: 251-478-3311Transportation Department: 251-470-5238Community Needs Services: 251-470-5222GrandFriends Adult Day Program: 251-470-5228Website: https://viamobile.org/Published Center Hours:Monday: 7:00 AM to 6:00 PMTuesday: 7:00 AM to 6:00 PMWednesday: 7:00 AM to 6:00 PMThursday: 7:00 AM to 6:00 PMFriday: 7:00 AM to 1:00 PMSaturday: 8:00 AM to 12:00 PMSunday: ClosedThese are the center's operating hours, not a guaranteed transportation schedule.Transportation services and pickup times must be confirmed separately.Why Senior Transportation Matters in Mobile CountyMobile County includes established neighborhoods, residential communities, and older adults with different transportation needs.Some seniors drive independently.Others depend on relatives, public transportation, or community programs.Because daily activities often require traveling between locations, transportation can influence the ability to remain involved in community life.Supporting Older Adults Who No Longer DriveStopping driving does not mean someone must stop participating in activities.Alternative transportation arrangements may provide opportunities to remain engaged.Connecting Residents With Community ResourcesCommunity centers, educational activities, and outreach programs can provide important opportunities for older adults.Transportation support may reduce barriers to participation.Helping Family CaregiversRelatives frequently assist with transportation.However, employment schedules and other responsibilities may limit their availability.Appropriate community transportation services may help families coordinate some trips.Supporting Participation in Adult Day ProgramsAdult day services may provide structured daytime activities and supervision for eligible individuals.Transportation can be particularly important when participants are unable to travel independently.Recognizing When Driving May Become DifficultDriving abilities can change because of health conditions, medication effects, or physical limitations.However, age alone does not determine whether someone can drive safely.Vision ChangesReduced visual clarity, difficulty seeing at night, or other vision problems may affect driving.Hearing ConcernsSome hearing changes may influence awareness of traffic or emergency signals.Mobility LimitationsDifficulty turning the head, moving the legs, or responding quickly may make certain driving tasks harder.Medication EffectsSome medications can cause dizziness, drowsiness, or reduced alertness.Cognitive ChangesConditions affecting attention, memory, or judgment may influence driving ability.Discussing Driving SafetyWhen concerns arise, an older adult should speak with an appropriate healthcare professional.A formal driving evaluation may be recommended in certain circumstances.Transportation alternatives can be discussed without assuming that everyone of a particular age should stop driving.Transportation and Social IsolationTransportation difficulties can contribute to reduced social interaction.An older adult who cannot travel easily may begin declining invitations or attending fewer community activities.Over time, this may limit opportunities to connect with others.Community Centers as Gathering PlacesVIA! provides a variety of social and educational programs.These offer opportunities for participants to spend time with others who share similar interests.Fitness and MovementRegular physical activity can support strength, mobility, and general well-being.Transportation may help some older adults access organized fitness programs.Continuing EducationLearning new skills and exploring interests can provide meaningful engagement.Recreational ActivitiesGames, celebrations, and community gatherings offer opportunities for participation.Access to transportation can be an important consideration when deciding whether these activities are practical.Transportation and Family CaregivingTransportation is often one of the first responsibilities family caregivers assume.A relative may begin by driving an older parent to occasional appointments.Eventually, transportation needs may become more frequent.Common Caregiver Transportation ResponsibilitiesThese may include:Medical appointmentsPharmacy visitsGrocery shoppingCommunity activitiesAdult day programsFamily gatheringsOther essential errandsWhy Planning MattersUnexpected scheduling conflicts can make transportation difficult.A backup arrangement may help families avoid missed appointments or other disruptions.Questions for FamiliesConsider:Which trips occur regularly?Does the older adult need assistance entering or exiting a vehicle?Is wheelchair-accessible transportation necessary?Who can provide backup transportation?Which community programs offer eligible transportation support?How much advance notice is required?Answering these questions can help create a more reliable transportation plan.GrandFriends Transportation and Adult Day SupportVIA!'s GrandFriends Adult Day Program serves adults requiring structured daytime supervision and engagement.The program supports individuals living with dementia and offers activities designed around participant abilities.Why Transportation Is Important for Adult Day CareSome participants cannot travel independently.Family caregivers may also need to coordinate drop-off and pickup around employment or household responsibilities.Program transportation may help make attendance more practical.Published GrandFriends Transportation DetailsVIA!'s Seniors Blue Book information identifies:Transportation within a 15-mile radius of the VIA! CenterA published fare of $3 for each one-way tripTransportation associated with GrandFriends Adult Day Program participationThese details should be confirmed because service availability and rates can change.GrandFriends Program HoursThe published adult day program schedule is Monday through Friday, 7:30 AM to 5:30 PM.These are program hours and do not necessarily represent transportation pickup or drop-off times.What Families Should ConfirmBefore arranging transportation, ask:Is the participant's address within the service area?Is transportation currently available?How are pickup times determined?Is assistance available during boarding?What is the current fare?Are there registration or scheduling requirements?What happens if a ride must be canceled?Transportation Accessibility ConsiderationsOlder adults have different mobility needs.Some can walk independently.Others use canes, walkers, or wheelchairs.The appropriate transportation arrangement depends on the individual.Boarding AssistanceA person may need help entering or exiting a vehicle.Families should ask what assistance drivers are authorized to provide.Mobility EquipmentNot every vehicle can accommodate every type of mobility device.Wheelchair or mobility aid needs should be discussed before scheduling.Walking DistanceA passenger may find it difficult to walk from the pickup location to the vehicle.Cognitive SupportSome individuals with dementia or other cognitive conditions may require additional supervision.Medical NeedsCommunity transportation should not be assumed to provide emergency medical services or skilled medical monitoring.A different transportation provider may be necessary when medical assistance is required during travel.How to Prepare for a Scheduled RideGood preparation can help make transportation arrangements more predictable.Confirm the Pickup LocationProvide an accurate address and any useful directions.Review the ScheduleAsk about pickup and return times.Prepare Important BelongingsDepending on the destination, bring identification, necessary personal supplies, and other essentials.Discuss Mobility NeedsTell the transportation provider about walkers, wheelchairs, or boarding assistance requirements.Keep Contact Information AvailablePassengers and caregivers should have the transportation department's telephone number.Understand Cancellation RulesAsk how much notice is required when plans change.What to Ask a Senior Transportation ProviderBefore choosing any transportation service, families should understand how it operates.Service AreaWhich neighborhoods or communities are included?DestinationsWhat types of trips are permitted?SchedulingHow far in advance should transportation be requested?CostAre fees charged per trip, distance, or another method?AccessibilityCan the service accommodate mobility devices?AssistanceWhat help is available during pickup and drop-off?AvailabilityDoes the service operate during evenings or weekends?Emergency ProceduresWhat happens if a passenger becomes ill or cannot complete the trip?These questions are particularly important because transportation programs differ considerably.Community Transportation Versus Medical TransportationSenior transportation can include different types of services.Community TransportationCommunity transportation generally supports travel to approved everyday destinations or programs.Nonemergency Medical TransportationThis may be arranged for patients who need transportation to medical appointments.Eligibility and service levels vary.Wheelchair TransportationSome specialized providers offer vehicles equipped for wheelchair users.Ambulance TransportationAmbulances provide medical transportation when a patient's condition requires the appropriate level of medical care.Understanding VIA!'s RoleVIA! lists community transportation services and specifically advertises transportation for its GrandFriends program.Families should confirm whether a proposed trip is eligible rather than assuming VIA! provides all transportation categories.Creating a Weekly Transportation PlanA simple weekly schedule can help older adults and caregivers organize travel needs.List Regular ActivitiesIdentify recurring appointments, classes, or programs.Prioritize Essential TripsDetermine which appointments or services cannot easily be rescheduled.Confirm Available TransportationContact the relevant provider to understand eligibility and scheduling.Arrange Backup OptionsA family member, trusted contact, or alternate transportation provider may be useful when a regular arrangement is unavailable.Review AccessibilityEnsure the selected service can accommodate individual mobility needs.Update the PlanTransportation requirements may change as health conditions, activities, or family schedules change.Expert Tip for Senior Transportation PlanningExpert Tip: Before arranging senior transportation, prepare a list of regular destinations, preferred travel times, and any mobility assistance needed. Ask the provider whether each trip is eligible, what it costs, and how far in advance it must be scheduled.Confirming these details in advance can help prevent last-minute transportation problems.How to Get Started With VIA! TransportationStep 1: Identify the Transportation NeedDetermine whether the goal is attending VIA! activities, accessing the GrandFriends program, or another type of eligible trip.Step 2: Contact the Transportation DepartmentCall 251-470-5238.Step 3: Confirm EligibilityAsk whether the passenger qualifies for the service and whether the destination is included.Step 4: Discuss AccessibilityExplain any need for a walker, wheelchair, boarding assistance, or additional supervision.Step 5: Ask About PricingConfirm the current fare for the specific program.Step 6: Review Scheduling RequirementsFind out when rides must be requested and how pickup times are arranged.Step 7: Confirm the ReservationReview the pickup address, destination, date, and contact information.Step 8: Keep a Backup PlanArrange another transportation option when necessary.Frequently Asked Questions About Senior Transportation in Mobile1. Does VIA! Health Fitness and Enrichment Center offer transportation services?Yes. VIA! identifies transportation among its community needs outreach programs and provides a dedicated transportation contact number, 251-470-5238.2. Does VIA! provide transportation to the GrandFriends Adult Day Program?Yes. Published GrandFriends information identifies transportation for eligible participants within a 15-mile radius of the VIA! Center, subject to program arrangements.3. How much does VIA! transportation cost?The published GrandFriends transportation rate is $3 per one-way trip. This rate should not be assumed to apply to all VIA! transportation services. Contact the organization for current pricing.4. Can VIA! accommodate seniors who use wheelchairs or walkers?Specific vehicle accessibility and boarding assistance arrangements were not confirmed in the public information reviewed. Passengers should contact the transportation department before scheduling to discuss mobility needs.5. Is VIA! transportation available for medical appointments and grocery shopping?VIA! lists transportation among its community services, but publicly available information does not establish unrestricted service to every type of destination. Families should contact VIA! to confirm which trips qualify.Staying Connected Starts With Transportation AccessThe ability to leave home and participate in everyday activities can have a meaningful impact on quality of life.Transportation supports more than mobility. It can help older adults access community programs, maintain relationships, and continue enjoying activities that matter to them.For seniors and families in Mobile County, VIA! Health Fitness and Enrichment Center offers community transportation resources alongside fitness, enrichment, outreach, and adult day services.Its transportation department can explain current service availability, eligibility, scheduling requirements, and appropriate arrangements.Whether you are exploring transportation for community activities or a loved one's participation in the GrandFriends Adult Day Program, contacting VIA! is a practical first step.Call VIA! to learn about available transportation options and how they may support your family's needs.Featured Seniors Blue Book ListingVIA! Health Fitness and Enrichment CenterRecommended Main SBB Category: TransportationAddress: 1717 Dauphin Street, Mobile, AL 36604County: Mobile County, AlabamaMain Phone: 251-478-3311Transportation Phone: 251-470-5238GrandFriends Adult Day Program: 251-470-5228Organization Type: Nonprofit community organizationServices: Community transportation resources, GrandFriends Adult Day Program transportation, fitness and enrichment activities, recreational programming, community outreach, information and assistance, and other senior support services.Transportation Note: Confirm service areas, destinations, accessibility, scheduling, and fees directly with VIA!.Find VIA! Transportation on Seniors Blue BookLooking for senior transportation services in Mobile, Alabama?Explore VIA! Health Fitness and Enrichment Center through Seniors Blue Book on SeniorsBlueBook.com.Review its community programs, transportation information, and contact details. Connect with the transportation department to discuss eligibility, scheduling, and available support.

Top 3 Vision Services in Mobile, AL

When reading becomes tiring, faces seem less clear, or glare makes familiar activities harder, it can be difficult to know where to begin. An older adult may need an updated prescription, an eye health evaluation, or follow-up for an existing condition. The first step is finding an office that can arrange the right appointment.This guide compares three featured Premier Medical Group locations offering vision services in Mobile, AL: East, Providence, and West. They are offices within the same practice. Top 3 identifies the featured listings in this guide rather than a ranking of clinical quality or individual doctors.The most useful choice depends on the reason for your visit, clinician availability, insurance, and the location you can reach comfortably. Use this guide to prepare questions and confirm the details before scheduling.Why an examination matters as people ageThe National Eye Institute explains that regular comprehensive dilated eye exams can help detect age-related eye diseases early. Some eye conditions may develop before a person notices a significant change in sight. Ask your eye-care professional how often you should be examined based on your health and history. Tell the clinician about difficulties with reading, steps, recognizing faces, or other daily tasks. Include any existing eye diagnoses, diabetes, prior eye procedures, and family history when preparing for the visit.Changes that need immediate attentionA sudden increase in floaters, flashes of light, or a curtain-like shadow across vision can be symptoms of retinal detachment. The National Eye Institute advises seeing an eye doctor or going to an emergency room right away for these symptoms. Do not wait for a routine appointment. For other new symptoms, describe what changed and when it started so the office can advise on appropriate timing. Premier Medical Group-EastPhone: 251-473-1900Address: 2880 Dauphin Street, Mobile, AL 36606The East location page lists both MD and OD eye-care professionals. Listed clinicians include Mark J. Douglas, MD; Richard J. Duffey, MD; John H. Friend IV, MD; and Gregory R. Jackson, OD, among others. Confirm current schedules directly. Premier's East clinician directory describes retinal care associated with Dr. Douglas, cataract and corneal services associated with Dr. Duffey, and primary eye care and low-vision evaluation associated with Dr. Jackson. These published profiles can help you ask for the appropriate consultation, but they are not a substitute for individual assessment. If an existing diagnosis prompted the visit, tell scheduling staff its name and ask which records should be sent in advance. If the main concern is difficulty with daily activities, explain those effects rather than trying to select a procedure yourself.Questions for the East officeWhich clinician should evaluate my concern?Should I use the dedicated eye appointment line for follow-up?Do you need previous examination records or imaging before my visit?Will the consultation and any recommended testing be at this address?What should I expect regarding preparation, visit length, and costs? Premier Medical Group-ProvidencePhone: 251-635-0919Location: 610 Providence Park Drive, Building 1, Suite 101, Mobile, AL 36695The practice has a separate ENT office at the Providence location. When arranging vision care, confirm Building 1, Suite 101 in your appointment instructions. Sharing the complete address with a driver or caregiver can prevent an unnecessary trip between buildings.An office with ophthalmology and optometry listingsThe Providence page lists eye doctors including Stuart R. Ball, MD; John H. Friend IV, MD; Charles F. Jones, MD; Alinda Guynes McGowin, MD; and Edmond Wright, MD. Its published roster also includes optometrists Ronni Ferris-Metzger, OD; Jeffery A. Morrow, OD; and Timothy B. White, OD. Verify clinician availability before making plans. Ask the team to help match the appointment to your concern. A routine prescription question, a new symptom, and follow-up for a known eye condition may require different scheduling arrangements.If you receive care from another Premier office, ask whether records are available to the Providence team and where follow-up should occur. Do not assume the same clinician, equipment, or appointment type is available at every location.Questions for the Providence eye officeWhich doctor is available for the type of visit I need?Can the recommended evaluation be completed at the Providence eye office?What entrance and parking arrangements should I use?Should prior records be transferred before the appointment?Will follow-up visits be here or at another office?Premier Medical Group-WestPhone: 251-341-3300 Location: 3701 Dauphin Street, Mobile, AL 36608The West office's eye-care roster includes Ronni Ferris-Metzger, OD; Curtis M. Graf, Jr., MD; Charles S. Mosteller, MD; Matthew W. Mosteller, MD; C. Drew Salisbury, MD; Andrew P. Terry, MD; Christopher J. Walton, MD; and Edmond Wright, MD. Ask which clinician evaluates your concern and whether that clinician is accepting new patients. For an older adult managing ongoing care, ask how frequently follow-up is expected and whether visits can remain at West. If a different location is recommended, request a clear explanation of where to go and what will happen there.Premier also offers ENT care, but an eye-care appointment does not automatically include evaluation of hearing or balance concerns. Mention overlapping symptoms and ask how the treating clinician would coordinate any additional assessment.Questions for the West officeWhich eye-care clinician is appropriate for my symptoms or diagnosis?Is a referral required before scheduling?Can I continue follow-up with the same clinician at West?Who will explain any test results and next steps?Which number should I use if I have a question after the visit? Why Vision Care Access Matters LocallyMobile families may need to coordinate a ride, caregiver availability, or time away from work for an examination. Compare the trip to each office with the patient and the person providing transportation. Ask about accessible entry and check-in assistance when needed.If the visit may include dilation, ask about temporary effects on vision and whether to arrange a driver. The National Eye Institute notes that dilation can cause blurred vision and sensitivity to light for several hours. Local access also matters after the first appointment. Clarify how results will be communicated, where follow-up will occur, and who handles questions between visits. A complete plan helps when several healthcare professionals are involved. How to Get StartedDescribe the reason for the visitChoose the appropriate scheduling contactCheck benefits for the actual visitConfirm preparation and transportationKeep the follow-up instructions Practical tip: Bring a short list of three vision tasks that have become harder. Examples such as reading medication labels or seeing steps can help the clinician understand your priorities.

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