Next steps: what to do before someone gives up driving

Identify the problem. If the person you're caring for acknowledges that he's having difficulty driving, find out the specific problems. Make appointments with his physician and eye doctor, and be sure to ask about medication, side effects, and drug interactions. It's possible that the problem can be remedied with a change in medication or a stronger pair of glasses. Make sure his car is suited to his needs and physical abilities, and ask his doctor if assistive devices might help address driving difficulties.

Discuss interim measures, if possible. Once you determine the source of the problem, you can decide what to do next. His physician might suggest that he limit driving to daylight hours or essential errands. If he's going to continue to drive at all, it's a good idea for him to brush up on his driving skills and the traffic laws by taking a senior driving refresher course. AARP, AAA, and commercial driving schools all offer such courses. Agree to revisit the decision every few months to see how it's going.

Help explore other transportation options. Whether or not he has to give up the car keys immediately, it's a good idea to help him become familiar with other transportation options. Take the bus with him if he's apprehensive and help him find out more about local senior transportation services. Encourage him to carpool with friends.

Take a break if he refuses to address the issue of driving safety. He may become angry when you try to talk about driving or refuse to discuss it, so it's a good idea to temporarily drop the issue. There's no point in engaging in a battle -- it will only make him more resistant. Give the matter some time, and then bring it up again in a week or so. You may find that he's become more receptive to discussing the matter over time, as he grows used to the idea and realize that the risks of continuing to drive outweigh the benefits.