PRESENTATION Driver Incapacity By Rob Sweeting Quality Education for Drivers Ltd 01473 824092 07841 706604 qed1btopenworldcom Why is being able to identify driver incapacity so important ID: 278931
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Slide1
SNEOSG
PRESENTATION
Driver Incapacity
By Rob Sweeting
Quality Education for Drivers Ltd
01473 824092
07841 706604
qed1@btopenworld.comSlide2
Why is being able to identify driver incapacity so important
?Slide3
Six people killed and eight injured in Glasgow bin lorry
crash.
Metheringham
lorry driver in fatal crash may have had heart
attack.Slide4
What do we understand by the term incapacities?Slide5
Types of Impairment
Physical Impairment
Eyesight.
Hearing Loss
Chemical
Prescribed,
Non prescribed
Illegal Chemical
Legal Chemical
Psychotic disordersPsychosisHypomania/maniaSchizophreniaMedicalsleep disordersDiabetesCardiovascular disease, Respiratory disordersCarcinomaRenal disordersAIDS SyndromePsychiatric Disorders Stress Dementia Anxiety DepressionDevelopmental disordersBehaviour disorders Personality disordersSlide6
What does the driving licence tell us?
Licence codes
(As p
e
r example)
01
-
Eyesight correction
15 -
Modified clutch20 - Modified braking systems25 - Modified accelerator systems42 - Modified rear-view mirror(s) 44 (6) - (adjusted) Rear-view mirror(s)118 Start date is for earliest entitlementNOTE: 71 - duplicate of licence(www.gov.uk/driving-licence-codesLeaflet from DVLA INS57Pwww.gov.uk/view-driving-licence)Slide7
Eyesight
Minimum standard.
Must be able to read a new style number plate (2 letter prefix) at 20m (Old style at 20.5m).
Advice
check at 30m
Look for other eye disorders Slide8
Eyesight
Changes happen over time and the individual will compensate for them and may not recognise the deficiency.
Regular eye checks!Slide9
Hearing LossSlide10
Chemical Impairment
Medicines Prescribed
Medicines
Non
Prescribed
– legal
Drugs Non Prescribed - legal highs
Stimulants
Drugs
IllegalAlcoholSlide11
Prescribed medicines
The driver should make sure that the doctor knows what they do for a living before prescribing and check with the pharmacist.
Any drug stating ”do
not
drive or operate
machinery” the driver should not be permitted to drive.Slide12
Medicines Non Prescribed – legal
Beware!
Many of these medicines can be bought off the shelf in a supermarket, a pharmacists advice should always be sought.Slide13
Drugs Non Prescribed - legal
highs
Very widely available, Very dangerous
Sold as
Not for human consumption
Research chemical pelletsSlide14
Stimulants Legal
Excessive use!
What goes up must come down!
Look for underlying causes Slide15
Drugs
IllegalA drug addict may not conform to your image!
“Only
9
% of individuals fit the stereotype of what many perceive an addict to be like.”Kristen McGuiness:Slide16
Chemical Impairment - What to look for
Frequently missing work
Accidents
Erratic
behaviour
Changes
in
appearance
Loss
of appetite Lack of personal hygiene Memory lossLoss of social activitiesFinancial requests, Secretive behaviour Change in social circles Change in personalityHighs and lows New health concerns ParanoiaSlide17
Alcohol Abuse
Level 1
Misplaced social drinking - Morning after the night before.
Level 2
Addiction, may not fit with your stereotype. Slide18
Alcohol Abuse - What to look for
Be aware of the signs of
drunkenness, smell of alcohol on breath speech too fast too loud
etc
but
also identify the functioning alcoholic these are people who are heavy drinkers who are extremely good at hiding the symptoms and evidence of heavy drinking.
Temporary
memory loss and blackouts,
Drinking
to cheer up, Tried to quit drinking but can’t, Drinking to be “normal” or “fit in” Flushed skin/broken capillaries on the face. Trembling hands. Problems with family members / friends Drinking in secret or lying about alcohol intake. Anxiety, insomnia, nausea when not drinkingDrinking in the Morning. Slide19
Medical
Impairment
Sleep apnoea,
S
leep
disorders,
F
atigue
.Slide20
Medical
Disorders
Diabetes
There are 3 million people diagnosed with
diabetes.
I
n
the UK and an estimated 850,000 people who have the condition, but don’t know it.
HGV drivers are a high risk category.Slide21
Cardiovascular D
isease
HGV DRIVERS ARE A HIGH RISK CATEGORY.
Poor diet lack of exercise or sporadic exercise.
What are the signs of a heart attack?Slide22
Blood Donors
Whilst there are no rules preventing driving aft
er
if the donor is going to suffer adverse reactions blood donation.
However If the donor is going to react it could be some time after giving a donation.
It is advised that the donor does not drive for a few hours after giving a donation, and certainly not if they feel ill or feint.Slide23
Respiratory
Disorders
Cough syncope
Carcinoma of lung Slide24
Renal D
isorders
Failure of kidneys to remove excess fluid may cause: Swelling of the legs, ankles, feet, face and/or
hands.
Shortness of breath due to extra fluid on the
lungs.
Feeling tired and/or weak,
memory problems
,
difficulty concentrating, dizziness, low blood pressure.Slide25
Psychiatric
Disorders
Stress
Dementia
or any organic brain syndrome.
Anxiety or depression
Psychotic disorders
Developmental disordersSlide26
Stress
Behavioural Symptoms
Physiological Symptoms
Psychological SymptomsSlide27
Stroke
TIA
Face
– the face may have fallen on one side, the person may be unable to smile, or their mouth or eye may have
dropped.
Arms
– the person may not be able to raise both their arms and keep them there due to weakness or numbness in their
arms.
Speech
– the person may have slurred speech. Time – if any of these signs or symptoms are present, it is time to dial 999 immediately. Slide28
Anxiety or D
epression
There are various conditions (disorders) where anxiety is a main symptom. They become important if the anxiety symptoms interfere with normal day-to-day activities, or if the worry about developing anxiety symptoms affects day to day life
.
About
1 in 20 people have an anxiety disorder at any one time. Slide29
Dementia
Or
any organic brain syndrome
Not necessarily related to age
Substance-Induced Persisting DementiaSlide30
Psychotic
Disorders
Predominately younger people suffer from Psychosis 80% of patients are aged between 16 and 30, however it is not exclusive to the young.
Psychosis occurs in a number of serious mental illnesses and not just schizophrenia, e.g. depression, bipolar disorder (manic-depressive illness), puerperal psychosis and sometimes with drug and alcohol abuse. It can also occur in a number of neurological conditions and with drugs not associated with abuse
.