How to recognize when it’s no longer safe for a senior to drive—and how geriatric care managers at LiveWell can help ease the transition
Driving is often seen as a symbol of freedom and independence. For many older adults, the ability to drive represents autonomy, mobility, and connection to the outside world. But as we age, physical, cognitive, and sensory changes can affect our ability to drive safely—and knowing when it's time to stop can be one of the most difficult decisions a family faces.
At LiveWell Care Management, our team of Aging Life Care Professionals® supports families with the guidance, resources, and compassionate conversations needed to make thoughtful, safety-focused decisions about driving and independence.
While older adults are typically more cautious drivers, they are also more likely to be seriously injured or killed in accidents. Age-related conditions such as frailty, reduced bone density, and slower reaction times contribute to higher injury risks—even in minor collisions.
In addition, many seniors continue to drive older vehicles—often 15 years or more past their production date—which may lack modern safety features like:
Backup cameras
Lane departure warnings
Blind-spot monitoring
Electronic stability control
Side-impact airbags
Without these technologies, older drivers are more vulnerable in high-risk situations on the road.
A 2023 study from the University of California, Riverside found that older adults are more susceptible to distractionwhile driving—especially when multitasking or processing visual and auditory stimuli, such as:
Road signs and billboards
Noisy radio advertisements
Nearby conversations or GPS prompts
This age-related decline in filtering out distractions can impair focus and decision-making, increasing the chance of accidents.
Driving requires sharp cognitive function, coordination, and reflexes. For many aging adults, medical concerns can interfere with safe driving, including:
Although hearing loss doesn’t automatically disqualify someone from driving, it may impact their ability to detect important cues like sirens, horns, or car trouble—especially when combined with vision decline or slower reflexes.
Mild cognitive impairment may seem subtle at first, but it can have a profound impact behind the wheel. Driving involves split-second decision-making, and even minor lapses in memory or judgment can lead to serious consequences.
Seniors often take multiple prescriptions, some of which may cause:
Drowsiness
Dizziness
Confusion
Delayed reaction time
Any of these side effects can impair driving ability—even temporarily.
Bringing up the idea of retiring from driving can be emotionally charged. Many older adults fear losing their independence and becoming isolated. But with the right approach, the conversation can be empowering rather than limiting.
Let your loved one express their concerns and frustrations. Acknowledge that this is a big change, but frame it as a step toward safety and wellness, not a loss of control.
Point out the cost savings—no more car insurance, fuel, maintenance, or registration fees. These savings can be redirected toward things they enjoy:
Hobbies and classes
Entertainment subscriptions
Home improvements or tech upgrades
Even a new pet companion
Giving up driving doesn’t mean staying home. There are many reliable and accessible transportation services for seniors, including:
Local para-transit programs
Non-emergency medical transportation
Home care agencies offering escorted rides
Private senior transportation services with door-to-door assistance
At LiveWell, our care managers are skilled in helping families assess driving safety and support aging adults through this life transition. We offer:
In-home safety and cognitive assessments
Referrals to driving rehabilitation specialists
Medication reviews with licensed professionals
Family mediation and planning for next steps
Coordination of transportation alternatives and mobility services
We’re here to ensure your loved one stays safe, connected, and empowered—even without a driver’s license.
Concerned about a parent’s driving or unsure how to start the conversation?