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Driving, vision, and hearing: staying safe without giving up independence

Topic: Home Safety & Falls Reading time: 2 min

Driving is more than transportation—it’s independence. Changes in vision, hearing, reaction time, or medication effects can make driving harder. The goal is safety and a plan.

Signs it may be time for a check-in

  • More close calls, honks, or “surprises”
  • Difficulty with night driving or glare
  • Getting lost on familiar routes
  • Slow reaction to sudden stops

Easy safety upgrades

  • Update vision prescription and address cataracts if present.
  • Get hearing checked (it affects awareness).
  • Avoid driving when sleepy or after new medication changes.
  • Choose daylight routes and familiar roads when possible.
If someone brings it up: Try to hear the concern without shame. The conversation can be about “safer driving” before it becomes about “no driving.”

Make a “Plan B” early

  • Ride share accounts set up in advance
  • Community transit options
  • Family/friend driving schedule
  • Delivery for groceries and medications

What to ask your clinician

  • “Could my medications affect driving safety?”
  • “Should I be evaluated for vision or cognitive changes?”
Ask your clinician (starter questions)
  • “What’s the most likely explanation in my case?”
  • “What serious causes are we ruling out?”
  • “Could any medications or supplements contribute?”
  • “What’s the simplest next step?”
  • “What should make me call you sooner or seek urgent care?”

If you want to prepare for a visit, try the Doctor Visit Checklist. For general support, browse Topics.