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As I Get Older

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Driving a car is a very complex task. You need good perceptual and judgement skills and you must pay constant attention to detail from your car and the world around you. As 90% of the information you need for safe driving comes through your eyes, any drop in vision due to age may compromise your safety. Although vehicle accidents usually have multiple causes, one of the more common causes is YOU, the driver, failing to see something important. Lose visual concentration at the wrong time, even for a second, and you may miss seeing a potential danger that could kill you and your passengers.



Despite nationwide driving fatality numbers decreasing, drivers aged 70 and over are more frequently involved in driving accidents (particularly fatalities) through decreased driving performance. Decreasing vision through ageing and common eye diseases is often a major contributing factor to such cases. With a rapidly ageing population and 19.8 million drivers over 70 already on U.S. roads, declining driver competence is fast becoming an urgent public health problem. One frightening statistic from the National Highway Traffic Safety Administration indicates that older driver involvement in fatal crashes will increase by 155% by the year 2030.

With increasing age many physical and mental changes will affect your ability to drive safely. Some conditions clearly make driving dangerous. If Dementia or Alzheimer's impairs your thinking or serious Cardiovascular disease makes you pass out from time to time, you need to immediately stop driving for your own and others' safety. Other less obvious problems may be just as dangerous at times. You may be temporarily unfit to drive if your prescription medicine makes you drowsy or if you are diabetic and your blood sugar drops too low. Impaired vision is another less obvious problem for older drivers. You may think you can see well, particularly in familiar driving locations, but as vision can deteriorate gradually over time, you may be totally unaware that your vision is not safe to drive!

Driving authorities impose a number of vision standards for safe driving. They may differ slightly from place to place but there are some common requirements. You need good visual acuity. This is the ability to see far enough ahead of you to recognize and avoid potentially dangerous situations. You need good peripheral (side) vision. This is the ability to see out to the sides when changing lanes or merging. It helps you to detect pedestrians and other roadside hazards. Night vision is also important. Poor night vision due to problems like cataract can affect may elderly drivers. They may require a conditional driving license that only allows daytime driving.

Although eye disease such as Cataracts, Glaucoma and Macular Degeneration are relatively common in seniors, they are not the most frequent vision problem affecting drivers. The most common visual impairment in older drivers is uncorrected refractive error. Many drivers are either unaware they need eyeglasses to drive or they fail to keep their prescriptions up to date because they have not noticed the gradual loss of vision.

It is important to make sure eye diseases are monitored regularly to ensure vision remains adequate to drive. Cataract surgery may restore driving vision when cloudy lenses affect your vision but some eye diseases progress to the point where you need to stop driving altogether. As many older drivers equate their driving license with physical independence, losing this ability can be a terrible event which can force major lifestyle changes.

In this fast paced mobile world, driving is almost a necessity for many people. It can be devastating when age and deteriorating vision limit this ability. Although you can't turn back the clock, regular eye examinations and good communication with your Eyecare practitioner can help you keep driving as long as possible. Check your eyes regularly and make sure your eyes stay safe to drive!
As I Get Older
New research is showing that memory and other brain functions decline even in otherwise healthy people as they age, as anyone who habitually misplaces car keys have suspected. This is not Alzheimer's disease but the process of wear and tear in the brains due to normal ageing.

If you are 65 years old today, chances are good that you will continue to live to 83 and beyond. A new problem arises. How do you protect the brain from the ravages of time? A very important question as the population greys and improvements in healthcare means people who are 50 today are expected to live for another 40 years.

'I don't think we've recognised, as scientists or a society, (that) this is the front-and-center public health issue we face as a nation.' Dr Denise Park, director of the University of Illinois' Center for Healthy Minds, told fellow brain specialists assembled by the United States government recently. 'We need to understand how to defer normal cognitive ageing, the way we've invested in fighting heart disease and cancer.'.

There are intriguing clues, gleaned from discoveries that some older people's brains literally work around ageing's damage, making new pathways when old ones disintegrates.

'It's not just fanciful or pie-in-the-sky' to try harnessing that ability, said Dr Richard Hodes, director of the National Institute on Aging, which organized the meeting to seek advice on the most promising research.

On top of the list that scientist have found has work for memory and mental sharpness is simple physical exercise. It appears to be as good for the brain as it is good for the body. Other options that have yielded promising results include brain-training games to medications that may keep brain networks better connected.

For older folks who worry about periodic memory lapses and what constitutes normal mental ageing and what is impending Alzheimer's, Science cannot yet tell for sure. But there seems to be a distinct difference.

A healthy brain is a bushy one. Branchlike tentacles extend from the ends of brain cells, enabling them to communicate with each other. The more you learn, the more those connections form. Alzheimer's kills neurons, so the cells disappear along with connections their neighbours need. According to Dr Carol Barnes of the University of Arizona, with normal ageing, the cells do not die but their bushes can shrivel to skinny twigs. Cells that are less connected have a harder time sending messages. Moreover, Alzheimer's seems to target first a different spot in the hippocampus, the brain's memory centre, from where ageing does.

There are two fronts that we can fight back.

Some brains are capable of withstanding a lot of punishment from Alzheimer's but the patients show little tell-tale signs of it's symptoms. This is known as 'cognitive reserve' and autopsy studies have found between 20 and 40 percent of elders who displayed no confusion actually had brains riddled with Alzheimer's trademark plagues.

Brain scans show younger people tend to use different neural networks than older people when performing the same task. Compensation is how the brain adapts when old pathways can no longer function, to reroute itself and use an alternative route.

Scientist agree that physical exercise is the best proven remedy to stave off the ageing process. In fact when 70-year olds started a walking programme three days a week, and sophisticated scans showed their brains' activity patterns started resembling those of younger people.

It has also been shown that people with higher education, more challenging occupations and enriched social lives build more cognitive reserve than couch potatoes. This is what is known as the 'use-it-or-lose-it' theory.

What about medication? Scientists are studying if an old blood pressure drug called guanfacine can work for children with attention deficit disorder. It works in the same brain region, the prefrontal cortex, where elder brains forge new networks. 'If it works in a six-year-old, we hope it will work in the elderly', said Yale University neurobiologist Amy Arnsten.

But why wait for the results to be out, you can start training your brain today. You can start by doing more crossword puzzles, learning a new foreign language, a new skill or hobby, play mahjong, learn new memory skills and technques or master memory training. And always keep the mind active. And remember to keep physcially active as well.

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