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TABLE OF CONTENTS

Technical Report Documentation Page

Foreword

SI * (Modern Metric) Conversion Factors

MEDICATION/POLYPHARMACY EFFECTS ON OLDER PEOPLE  

MEDICATION USE IN THE OLDER POPULATION

United States: Use of Drugs in the Community-Dwelling Older Population
     Prescription Medications
     
Over-the-Counter Medications
     Concurrent Use of Alcohol and Medications

Other Countries: Use of Drugs in the Community-Dwelling Older Population

PHYSIOLOGICAL EFFECTS

Introduction
Physiological Changes That Affect How Older People Metabolize Medications

EFFECTS ON DRIVING ABILITY

Depressants: Benzodiazepines
Depressants: Opioids
Antidepressants
Antidiabetic Agents
Multiple Medications

FALLING AND OTHER ADVERSE EFFECTS

MEASURING/MONITORING MEDICATION USAGE

METHODS OF MEASURING MEDICATION USE/COMPLIANCE IN THE COMMUNITY DWELLING POPULATION OF OLDER PEOPLE

Clinical Judgment
Patient Self-Report
Clinical Response
Biochemical Measures
Pill Counts
Pharmacy Records
Electronic Medication Monitoring Devices

FACTORS AFFECTING COMPLIANCE WITH MEDICATION REGIMES

Medication-Related Factors
Patient-Related Factors
Prescriber-Related Factors

FACTORS AFFECTING OLDER PEOPLE’S WILLINGNESS TO PARTICIPATE IN RESEARCH

METHODS TO MEASURE DRIVING PERFORMANCE

ON-ROAD TESTING

Naturalistic Studies (Driving in Traffic)
     part 1 | part 2 | part 3 | part 4 | part 5 | part 6 | part 7 | part 8 | part 9
Controlled Driving (Closed Course)

DRIVING SIMULATION

Level III: Interactive, Computer Graphic Visuals, Full Motion
Level II: Interactive, Computer Graphic Visuals, Restricted or No Motion
Level I: Non-Interactive, Computer Graphic and/or Digital Video Visuals, No Motion

REFERENCES

APPENDIX A: Potentially Inappropriate Medications Commonly Prescribed for Older Community-Dwelling Individuals

 

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