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Assessing and Counseling the Older Driver: A Concise Review for the Generalist Clinician

Author/s: 
Hill, Larisa J.N., Pignolo, Robert J., Tung, Ericka E.

Older drivers are putting more miles on the road during their “golden years” than generations prior. Many older adults have safe driving habits, but unique age-related changes increase the risk for crash-related morbidity and mortality. Generalists are poised to assess and guide older adults' driving fitness. Although there is no uniformly accepted tool for driving fitness, assessment of 5 key domains (cognition, vision, physical function, medical comorbidities, and medications) using valid tools can help clinicians stratify older drivers into low, intermediate, and high risk for unsafe driving. Clinicians can then make recommendations about fitness to drive and appropriate referrals for rehabilitation or alternative transportation resources to optimize mobility, independence, and quality of life for older adults.

Keywords 
cognition cognitive assessment older adults driving vision physical function comorbid conditions medications

Legal Advocacy To Improve Care For Older Adults With Complex Needs

Author/s: 
Hooper, Sarah, Parekh, Ami, Fabiny, Anne, Teitelbaum, Joel

Legal advocacy is a recognized strategy to address social factors that influence the health of populations with complex care needs. Such advocacy can improve housing stability, increase access to public benefits that support a host of social needs, assure that medical and financial proxy decision makers are in place, and reduce psychosocial distress. 

Keywords 
Elderly care elder abuse social workers home care dementia medicare elderly aged
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