165 Mental Health Concerns and The Older Adult
Table 3. Chronic Medical Conditions That Require Investigation for Driving Safety Medical Condition Examples Disease/conditions affecting vision ● Cataracts.
● Diabetic retinopathy. ● Macular degeneration. ● Glaucoma. ● Retinitis pigmentosa. ● Field cuts. ● Low visual acuity even after correction. ● Unstable coronary syndrome. ● Arrhythmias. ● Palpitations. ● Congestive heart failure. ● Hypertrophic obstructive cardiomyopathy. ● Valvular disease.
Cardiovascular disease, especially when associated with presyncope, syncope, or cognitive deficits
● Dementia. ● Multiple sclerosis. ● Parkinson’s disease. ● Peripheral neuropathy. ● Brain injury. ● Spinal cord injury.
Neurologic disease
● Mood disorders. ● Depression.
Psychiatric disease
● Anxiety disorders. ● Psychotic illness. ● Personality disorders. ● Alcohol or other substance abuse.
● Type 1 and type 2 diabetes mellitus (especially with hypoglycemic attacks or severe swings in blood glucose). ● Arthritis and foot abnormalities. ● Contractures and decreased range of motion. ● Inflammation. ● Pain.
Metabolic disease
Musculoskeletal disabilities
● Chronic obstructive pulmonary disease. ● Obstructive sleep apnea.
Respiratory disease
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