Maintaining and providing independence is as much a top priority for caregivers as it is for the senior individual.  Aging in general can cause the decrease or loss of certain functions and abilities, which in turn can lead to depression.  Depression itself, as shown in studies, can lead to the increase in physical deterioration and even dementia and Alzheimer's, thus completing a vicious circle. 

      It is a natural response for people to want to gain and maintain their independence or "freedom".  From early childhood, we develop that need to "do it myself".  This continues throughout our lives in every stage, but is most evident, when as teenagers, we learn to drive.  Especially in America, where the car is king, the ability to get into a car and drive anywhere is considered a right.  As mentioned above, the decrease in certain abilities will undoubtedly affect driving.  Some individuals will realize this on their own and cease driving due to fear of a getting into an accident.  Others, however, may be deny their capabilities and continue to drive.  Family members, friends or caregivers may need to intervene and determine if, in fact, the senior in question should cease driving. Todays' Caregiver Magazine (www.caregiver.com) has provided a list of questions to ask or signs to look for:

•     When exiting a highway or interstate, does the driver seemed confused?
•     Does the driver seem nervous or agitated when driving?
•     Does the driver fail to stop at red lights or stop signs?
•     Is there confusion over the gas pedal and brake pedal?
•     Are there unexplained dents in the car? Mailbox, garage, trash cans, etc...at home?
•     Can the driver read and/or understand traffic signs?
•     Does the driver stop for no apparent reason?
•     How do other drivers on the road react to the senior driver?
•     Are turns, especially left turns, difficult for the driver to navigate?
•      Is the driver aware of potentially dangerous situations/activities on the side of the road?

If it is determined that it is not safe for the person to drive, it will be necessary to have a conversation with them.  State driving requirements may automatically lead to the termination of driving rights, but since driving laws are different from state to state, the individual may have years before they legally have to be tested again. Therefore it may be a good idea to get the individual's physician involved.  By having them explain the situation and the reasons behind it, will not only provide a third party, but an authoritative one as well.
The family member or caregiver should also come up with options of alternative transportation before suggesting that the individual stop driving.  That can help alleviate a lot of the stress that may come from surrendering their license. Todays Caregiver Magazine also provides some suggestions:

Selling the driver's vehicle and setting aside those funds to pay for public or private transportation.
Rotating a schedule with family and/or friends to provide ongoing transportation.
Qualifying for special transportation in their community based on medical need; especially for medical appointments. (Visit www.211.org to see if the driver qualifies)
Look into para-transit options for public transportation. (Call your local public transit authority for details).
Joining an existing neighborhood carpool service.
Senior centers may provide transportation directly to and from programs on a regular basis.

There will be other options available, depending on the community in which the driver resides. Talking with senior centers, church leaders and even health care providers can usually lead you to several options.  By helping a loved one through this transition will ease the stress over safety for the loved one and still allow the freedom and independence that we all want.
Have you had to speak with a loved one about this issue? Do you have more questions regarding this topic?  Please feel free to let me know.  I look forward to your comments and questions.