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Should You Be Driving?

Your driving skills may decline as you age. Here's how to stay on track.

By NIH/National Institute on Aging

Getting older doesn’t make you a bad driver, but some changes associated with aging may affect driving skills over time.

Be Aware of Physcial Changes

As you age, your joints may get stiff, and your muscles may weaken. This can make it harder to turn your head to look back, turn the steering wheel quickly, or brake safely.

What you can do:

  •     See your doctor if you think that pain or stiffness gets in the way of your driving.
  •     If possible, drive a car with automatic transmission, power steering, power brakes, and large mirrors.
  •     Be physically active or exercise to keep and even improve your strength and flexibility.

Check Your Eyesight

Your vision also may change as you get older. At night, you may have trouble seeing things clearly. Glare can also be a problem—from oncoming headlights, street lights, or the sun. It might be harder to see people, things, and movements outside your direct line of sight. It may take you longer to read street or traffic signs or even recognize familiar places. Eye diseases, such as glaucoma, cataracts, and macular degeneration, as well as some medicines, may also change your vision.

What you can do:

  •     Check your vision  every two to four years if you are age 40 to 64 and every one to two years if you are 65 or older, as recommended by the American Academy of Ophthalmology. There are many vision problems your doctor can treat.
  •     Talk to your eye doctor if you can’t see well enough to drive because you have a cataract. You might need surgery to remove the cataract.
  •     If you need glasses to see far away while driving, make sure your prescription is correct. And always wear them when you are driving.
  •     Cut back on night driving if you are having trouble seeing in the dark.

Check Your Hearing

Your hearing may change, making it harder to notice horns, sirens, or noises from your own car. That can be a problem because these sounds warn you when you may need to pull over or get out of the way. It is important that you hear them.

What you can do:

  •     Have your hearing checked. The American Speech-Language-Hearing Association recommends doing this every 3 years after age 50. Your doctor can treat some hearing problems.
  •     Get a hearing aid to help—don’t forget to use it when you drive.
  •     Try to keep the inside of the car as quiet as possible while driving.
  •     Pay attention to the warning lights on the dashboard. They may let you know when something is wrong with your car.

In order to drive safely, you should be able to react quickly to other cars and people on the road. You need to be able to make decisions and to remember what to do. Being able to make quick decisions while driving is important so you can avoid accidents and stay safe. Changes over time might slow how fast you react. You may find that your reflexes are getting slower. Stiff joints or weak muscles can make it harder to move quickly. Your attention span may be shorter. Or, it might be harder for you to do two things at the same time.

What you can do:

  •     Leave more space between you and the car in front of you.
  •     Start braking early when you need to stop.
  •     Avoid high traffic areas when you can.
  •     If you must drive on a fast-moving highway, drive in the right-hand lane. Traffic moves more slowly there. This might give you more time to make safe driving decisions.
  •     Take a defensive driving course. AARP, American Automobile Association (AAA), or your car insurance company can help you find a class near you.
  •     Be aware of how your body and mind might be changing, and talk to your doctor about any concerns.

Health Conditions May Cloud Judgment

Some health problems can make it harder for people of any age to drive safely. But other conditions that are more common as you get older can also make driving difficult. For example, Parkinson’s disease, stroke, and arthritis can interfere with your driving abilities. At some point, someone with health problems may feel that he or she is no longer a good driver and may decide to stop driving.

People with illnesses like Alzheimer’s disease (AD) or other types of dementia may forget how to drive safely. They also may forget how to find a familiar place like the grocery store or even home. In the early stages of AD, some people are able to keep driving safely for a while. But, as memory and decision-making skills worsen, driving will be affected. If you have dementia, you might not be able to tell that you are having driving problems. Family and friends may give you feedback about your driving. Doctors can help you decide whether it’s safe to keep driving.

What you can do:

  •      Tell a family member or your doctor if you become confused while driving.

Check Your Medications

Do you take any medicines that make you feel drowsy, lightheaded, or less alert than usual? Medications can have side effects. People tend to take more medicines as they age, so pay attention to how these drugs may affect your driving.

What you can do:

  •     Read the medicine labels carefully, and pay attention to any warnings.
  •     Make a list of all your medicines, and talk to a doctor or pharmacist about how they may affect your driving.
  •     Don’t drive if you feel lightheaded or drowsy.

Are You a Safe Driver?

Maybe you already know that driving at night, on the highway, or in bad weather is a problem for you. Older drivers can also have problems when yielding the right of way, turning (especially making left turns), changing lanes, passing, and using expressway ramps.


What you can do:

  •     When in doubt, don’t go out. Bad weather like rain or snow can make it hard for anyone to drive. Try to wait until the weather is better, or use buses, taxis, or other transportation services available in your community.
  •     Look for different routes that can help you avoid places where driving can be a problem. Left turns can be quite dangerous because you have to check so many things at the same time. You could plan routes to where you want to go so that you only need to make right turns.
  •     Have your driving skills checked. There are driving programs and clinics that can test your driving and also make suggestions about improving your driving skills.
  •     Update your driving skills by taking a driving refresher course. (Hint: Some car insurance companies may lower your bill when you pass this type of class.)

More Tips for Safe Driving

Planning before you leave:

  •     Plan to drive on streets you know.
  •     Limit your trips to places that are easy to get to and close to home.
  •     Take roads that will avoid risky spots like ramps and left turns.
  •     Add extra time for travel if driving conditions are bad.
  •     Don’t drive when you are stressed or tired.

While you are driving:

  •     Always wear your seat belt.
  •     Stay off the cell phone.
  •     Avoid distractions such as eating, listening to the radio, or having conversations.
  •     Make sure there is enough space behind your car. (Hint: If someone follows you too closely, slow down and pull over if needed to let that person pass you.)
  •     Use your window defrosters to keep both the front and back windows clear.
  •     Keep your headlights on at all times.

Car safety:

  •     Drive a car with air bags.
  •     Check your windshield wiper blades often and replace them when needed.
  •     Keep your headlights clean and aimed in the right direction.
  •     Think about getting hand controls for both the gas and brake pedals if you have leg problem

Is It Time to Give Up Driving?

We all age differently. For this reason, there is no way to set one age when everyone should stop driving. So, how do you know if you should stop? To help you decide, ask yourself:

  •     Do other drivers often honk at me?
  •     Have I had some accidents, even if they are only "fender benders"?
  •     Do I get lost, even on roads I know?
  •     Do cars or people walking seem to appear out of nowhere?
  •     Have family, friends, or my doctor said they are worried about my driving?
  •     Am I driving less these days because I am not as sure about my driving as I used to be?
  •     Do I have trouble staying in my lane?
  •     Do I have trouble moving my foot between the gas and the brake pedals, or do I confuse the two?

If you answered yes to any of these questions, it may be time to think about whether or not you are still a safe driver.

How Will You Get Around?

Are you worried that, if you stop driving, you won’t be able to do the things you want and need to do? You’re not alone. Many people have this concern, but there may be more ways to get around than you think. For example, some areas offer free or low-cost bus or taxi service for older people. Some communities also have carpools that you can join without a car. Religious and civic groups sometimes have volunteers who will drive you where you want to go. Your local Area Agency on Aging can help you find services in your area.

You can also think about taking taxis. Sound pricey? Don’t forget--it costs a lot to own a car. If you don’t have to buy a car or pay for insurance, maintenance, gas, oil, or other car expenses, then you may be able to afford to take taxis or other public transportation. You can also help buy gas for friends or family who give you rides.

Based on editorial content provided by the NIH/National Institute on Aging from its "AgePage" series.

NIH/National Institute on Aging
By NIH/National Institute on Aging
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