The Rogersville Review: Senior Review • May 2021

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THE ROGERSVILLE REVIEW

May 2021

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Volunteering Leads to a New Home Get Active Bladder Health Risk Factors for Bladder Cancer Protect Yourself from Coronavirus Fraud Explore Long-Term Care Insurance Rest is Important Choosing Healthy Meals Stopping Infections Benefits to Catching a Midday Snooze Take Supplements The Role Different Vitamins Play Gluten-Free Baking: Easy and Tasty Signs of Unsafe Driving in Older Drivers

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2 • The Rogersville Review: Senior Review • May 1, 2021

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SENIOR LIVING | LOCAL FRIENDS

Volunteering Leads to a New Home

Bob Kellogg and his late wife, Barbara.

Bob Charles Kellogg Robert Charles Kellogg, aka Bob, was born on August 17, 1925. He has lived at Morning Pointe Assisted Living for three and a half years. Bob starting coming to Morning Pointe as a volunteer and enjoyed the place so much that he decided he wanted to live there. Bob has a 4 year psychology degree from Rutgers University in New Jersey. Bob was born in Connecticut as the 11th generation Connecticut Yankee and moved to Greene County in 1988. He was Corporal in the US Army Air Force serving in World War II, New Guinea, Philippines and Okinawa. Bob met his late wife Barbara Lee Taylor in Detroit, Michigan at a singles group. In 1985 he was a contestant and winner on the Price Is Right television show. Bob has a Korean god-daughter that he tried to adopt. Bob is very active in most activities at Morning Pointe and loves to lead “team trivia”. He loves most music, but Puccini’s Opera is his favorite and he has a very good bass tone for karaoke. Bob enjoys to watch anything about history.

Photos courtesy of Morning Pointe of Greeneville


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SENIOR LIVING | EXERCISE

Get Active

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T

here are a lot of preventative measures you can take to stay healthy as you get older. One of those is staying active as you get older. Here are some tips from health. gov to keep you moving and active. BEFORE YOU START Physical activity is great for people of all ages. But, before you start, there are some things you should know. If you have a health problem such as diabetes, heart disease or obesity, talk to your doctor before getting out and getting active. Your doctor should help you determine what exercises and activities would be a good starting point.

begin, there are some steps you should take to ease yourself into being active. Begin by aiming for two and a half hours of moderate activity a week. See how working out fits into your weekly schedule and what you can take. You can always add more time of exercise a day as your body adjust to the workouts. Choose aerobic activities such as walking fast, dancing, swimming START SLOW or raking leaves outside. What If you have never been very matters is doing activities that will physically active and are looking to make your heart beat faster. Talk to

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your doctor if you have shortness of breath, chest pain or unplanned weight loss.

as tossing the ball around with grandchildren or swimming in a pool. Health.gov does recommend ANYTHING IS A WORKOUT doing muscle-strengthening Working out doesn’t necessarily activities at least two days a week. have to be running or lifting These kinds of workouts can be weights. Household chores can be anything such as using bands or a good workout for you. Raking hand weights. If you don’t have leaves, cleaning the house or even bands or weights available you can doing some simple balance also use bottles of water or food as exercises can be good workout for weights. you. As long as it gets your body You can find some inexpensive moving and active. weights at local outdoor stores or A good workout can be as simple even your local grocery store.


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drinking a day. If you drink a lot of sodas, caffeinated drinks or alcohol, you are not getting the amount of water intake a day that you should.

USING THE RESTROOM If you’re drinking plenty of water in a day, that means you will be using the restroom plenty of times. It’s important to use the bathroom often and when needed. NIH suggests you should urinate at least every three to four hours. Holding urine in your bladder for too long can weaken your bladder Here are some tips from the muscles and make a bladder National Institute on Aging to keep infection more likely. It is your bladder healthy as you get important to take your time in the older. restroom to make sure you fully empty your bladder. If urine stays DRINK WATER in your bladder for too long, you Water is the liquid of life and can increase the chances of getting this is especially important for a bladder infection. your bladder. Water is the best Using the restroom can be fluid for bladder health. The NIH stressful for some seniors. It is says most healthy people drink six important to make sure you are as to eight 8-ounce fluid glasses of relaxed as you can be when using water each day. Water should be at the restroom. Relaxing the muscles the least half of your fluid intake. around your bladder will make it For some people, this amount of easier to empty the bladder. water can be harmful, so it’s NIH says hovering over the toilet important to speak with your for women can make it hard to health care provider about how relax your muscles, so it is best to much water you should be sit on the toilet seat.


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Risk Factors for Bladder Cancer

Bladder cancer is a condition that older populations need to mindful of. The American Cancer Society says nine out of 10 people with bladder cancer are over the age of 55. The average age for diagnosis is 73. Bladder cancer is the fourth most common cancer in men, but less common in women. However, the likelihood of getting bladder cancer is affected by various risk factors.

UNDERSTANDING BLADDER CANCER Bladder cancer most often originates in the urothelial cells that line the inside of the bladder. These cells also can be found in the kidneys and ureters, which are the tubes that connect

the kidneys to the bladder. Bladder cancer can occur in the kidneys and ureters, too. However, it is much more common in the bladder. Cancer that happens in the lining of the bladder is called superficial bladder cancer. Invasive bladder cancer occurs when it has spread through the lining of the bladder and invades the muscle wall or has spread to nearby lymph nodes and organs, states the National Cancer Institute. DIAGNOSING BLADDER CANCER The ACS says about half of all bladder cancers are found while the cancer is in its earliest stage or only in the inner layer of the bladder wall. Patients may visit their doctors due to signs and

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symptoms such as: • blood in urine • frequent urination • painful urination • back pain Any urine discoloration, however minor, should be discussed with a physician.

RISK FACTORS Though age is a concern with bladder cancer, other factors also increase risk. Smoking cigarettes, pipes or cigars is a major contributor to bladder cancer. The Mayo Clinic says the chemicals from cigarettes are processed and excreted through the urine. These chemicals may damage the lining of the urinary tract and bladder. Exposure to other chemicals

also can lead to bladder cancer for the same reasons; the kidneys and bladder filter them out of the bloodstream. Arsenic, dyes and products used in the manufacture of rubber, leather, textiles, and pain products also are linked to bladder cancer. Treatment of other cancers with cyclophosphamide also increases a person’ risk for bladder cancer. Individuals who have had radiation treatments aimed at the pelvis for a previous cancer also could develop bladder cancer. Family history and chronic bladder inflammation with repeated urinary infections may increase the risk of bladder cancer as well.

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Protect Yourself from Coronavirus Fraud

As communities begin returning to some semblance of normalcy, the Centers for Disease Control and Prevention has warned people against letting their guard down. While many of those warnings pertain to the importance of continuing to practice social distancing as economies reopen, advisories also include notices about fraud schemes related to COVID-19. The U.S. Department of Health and Human Services Office of the Inspector General has advised the general public about scams involving Medicare fraud. Such schemes are targeting Medicare beneficiaries in an assortment of ways, including through text messages, social media,

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telemarketing calls, and even door-to-door visits. When perpetrating such frauds, scammers seek beneficiaries’ personal information, which they then use to fraudulently bill federal health care programs, potentially leaving their victims on the hook for costly unapproved tests related to COVID-19. The CDC notes the importance of being aware of such schemes. Awareness can help consumers avoid being victimized by scammers, and the following are some additional measures people can take to protect themselves from COVID-19-related fraud. • Do not share personal account information. Scammers need their victims’ personal

information to perpetrate their fraudulent schemes. The CDC cautions beneficiaries to be suspicious of unsolicited requests for their Medicare or Medicaid numbers. • Do not take callers or visitors at face value. Unsolicited callers or visitors requesting Medicare or Medicaid information should be met with extreme caution. Be suspicious of any unexpected calls or visitors offering COVID-19 tests or supplies. Compromised personal information may be used in other fraud schemes. • Never click on links in emails or text messages. Do not respond to, or open hyperlinks in, text messages or emails about COVID19 from unknown individuals.

• Ignore offers or advertisements for COVID-19 testing or treatments on social media sites. Offers or ads for testing are one of the ways scammers are accessing personal information. Only a physician or other trusted healthcare provider should assess your condition and approve any requests for COVID19 testing. The COVID-19 outbreak has made it easy for criminals to exploit consumers concerned about their health. Consumers who suspect COVID-19 fraud can contact the National Center for Disaster Fraud Hotline at (866) 720-5721 or visit Justice.gov/ DisasterComplaintForm to file a complaint.

Explore Long-Term Care Insurance

ong-term care insurance can be an effective way to pay for the often high cost of skilled nursing care.

Individuals plan for many different scenarios: buying a home, putting kids through college and saving for retirement, among them. Quite often the concept of making arrangements for one’s golden years is placed on the back burner. However, that can be an expensive mistake. According to AARP, by the time a person reaches age 65, he or she has a 50-50 chance of needing

long-term care at some point in the future. Medicare, the federal health insurance program for people who are 65 or older in the United States, does not cover custodial care, which is the primary form of care in nursing homes. Therefore, many people must find alternative ways to finance nursing home and other long-term care options. Those who must pay out-of-pocket spend an average of $85,000 per year on a nursing home in the U.S., and this is often an expense that has not been included in retirement budgets. Long-term care insurance can be the best option to offset the high costs of nursing home and other care in most instances. It helps cover the costs of services that aren’t covered by regular health insurance, namely

assistance with routine daily activities like bathing, dressing or getting in and out of bed, advises the financial resource NerdWallet. Such care may be administered at home by a private health aide or in a skilled nursing facility. Most policies also will reimburse for services rendered in an assisted living facility or an adult day care center. According to a study revised in 2016 by the Urban Institute and the U.S. Department of Health & Human Services, about 14 percent of people age 65 and older will require care for more than five years. Getting the facts about long-term care insurance can help individuals make important decisions for their futures. • The earlier a person buys a long-term care insurance policy

the lower the rates tend to be. The American Association of Long-Term Care Insurance says a 65-year-old couple can typically buy a policy for $4,800 per year to offer base benefits of $180,000 plus 3 percent inflation growth. That plan price more than doubles if purchased at age 75. • Cost also is based on the maximum amount the policy will pay per day and the number of years the policy will pay. Many policies limit how long or how much they will pay, some between two and five years, states the Administration on Aging. • Policies require some medical underwriting, so not everyone will qualify. AARP suggests seeking out an independent agent who sells policies from multiple companies rather than a single insurer.


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SENIOR LIVING | HEALTHY HABITS

Rest is Important R

est is not only important for your body but it’s also important for brain and emotional health. Sleep.org says getting good rest and relaxing your muscles and brain can help restore a sense of calm during times of exhaustion, illness or overexertion. BENEFITS OF SLEEP Sleep.org says our brains are dependent on quality sleep, which helps remove toxins that accumulate during the day. Without sleep, our bodies can’t recover or recharge. Getting good quality sleep has a positive effect on your brain, emotions and body. Getting good sleep helps your body’s immune system and can help protect your body from disease. Sleep can have a direct effect on how you feel during the day. If you aren’t sleeping well at night, you won’t be able to tackle the day effectively. Sleep.org says deprivation is linked to lower immunity and increases inflammation, which makes us more susceptible to depression, anxiety and other mental illnesses. Sleep also effects your weight and heart health. Getting enough sleep helps your body regulate appetite and burn

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more calories. GETTING MORE SLEEP If you aren’t getting good sleep during the night on a regular basis, there are tips and tricks you can try to get you feeling sleepy quicker and sleeping longer. Sleep.org shares the following tips on how you can get more sleep during the night. • Avoid using phones, computers or other devices right before you go to bed. • Adopt a relaxing pre-sleep ritual to help get your mind and

body ready for sleep. • Exercising during the day will help you feel more tired at night. • Avoid caffeine or tobacco products before bed. • Nap less during the day; it can have a direct effect on your sleep schedule. GET MORE REST Resting during the day can be as beneficial as getting good quality sleep. Adopt a rest routine to help you find a consistent way to feel more sleepy.

Sleep.org says listening to music, reading or taking a relaxing bath will help you sleep better. Getting away from your stressful work during the day is also beneficial for you. When work becomes overwhelming, take a few minutes to go for a walk or listen to music away from your desk. Sleep is so important for all aspects of your health. It’s important to prioritize it and make sure you get the sleep you need to get.


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SENIOR LIVING | FOOD

Choosing Healthy Meals E

ating healthy begins at home with you. As you get older, you need to be mindful of the food you put in your body. You don’t have to begin a crazy diet or crazy workout routine to be healthy. Being healthy can be as simple as eating better food and maintaining a healthy weight. KNOW YOUR PLATE Healthy eating changes as you get older. As you grow older, your metabolism slows down, so you need to take in fewer calories than you did in the past. Your body also needs to take in as much nutrients as it can. This means eating the best and healthiest foods that will give you the best nutritional value. A part of this is knowing your plate and knowing what you take in every day. Everyone remembers the food pyramid and what it contains, but the United States Department of Agriculture has began a new simpler way for people to see what they should eat each day called MyPlate.

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The program helps people find out what they should be eating and about how much of a certain item they should each at a time, making it easier for you to head down to your local grocery store with confidence knowing you have a list of what you need and how much of it. EAT IN MODERATION Eating healthy all the time can

be tiring and, after a while, all the healthy foods you can become tasteless and aggravating. It’s OK to eat out at your favorite fast food place or even have a burger and some fries. Just remember to eat those types of food in moderation, maybe once every week or two. It’s important to also monitor how much of a unhealthy food you eat a day. Don’t spend a whole day eating unhealthy foods that

will break your diet. Begin the day off with a healthy oatmeal and fruits for breakfast and eat the burger for dinner or you can switch it up with a pancake, sausage and egg breakfast and a wholesome salad for dinner. You don’t have to drive yourself crazy to be healthy and you can still all the foods you love, just in moderation.


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SENIOR LIVING | PREVENTION

Stopping Infections © ADOBE STOCK

A young body can fight off most infections pretty easily but, just like everything else as you get older, it becomes harder for your body to keep up and fight off illnesses. Luckily, there are some things you can do to prevent the spread. EAT IMMUNE-BOOSTING FOODS Your diet directly effects your immune health and the foods you eat can increase its efficiency. Eating a low-fat, plant-based diet may help give the immune system a boost. Your immune system relies on white blood cells to combat bacteria, viruses and other

invaders. People who eat more plants have been shown to have more effective white blood cells when compared to nonvegetarians. Foods high in vitamins, minerals and antioxidants boost immune health. Studies have shown fruits and vegetables provide nutrients that can boost immune function. It’s because they are rich in antioxidants and nutrients such as beta-carotene, vitamin C and vitamin E. SEE YOUR DOCTOR REGULARLY As you get older, there are more reasons for you to get out and go

see your doctor. It’s important to get regular scheduled check ups with your doctors to make sure you monitor your health. Your body changes day by day and anything can happen overnight. You may be wondering how often “regular” is exactly. There are a few things to consider when asking yourself this: • On your last visit, did your doctor advise a return date for you? • Did you go back on the return date? • Have you noticed any health change since the last time you visited?

SLEEP AND THE IMMUNE SYSTEM Your body needs sleep to function and sleep is especially important for your immune system. Sleeping issues are linked to health problems such as heart disease, Alzheimer’s disease and obesity. Lack of sleep can harm immune system by weakening it’s defenses and making it easier for your body to catch sickness or colds. Add more fruits, vegetables, grains and beans to your diet to help yourself get better, deeper sleep. If you or a loved one is experiencing any of these difficulties then it may be time to put down the keys.


12 • The Rogersville Review: Senior Review • May 1, 2021

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Benefits to Catching a Midday Snooze Do you relish the idea of an afternoon nap? If so, you’re in good company. According to the National Sleep Foundation, John F. Kennedy, Winston Churchill, Napoleon, and Albert Einstein each fancied afternoon naps. Youngsters nap, and so do many seniors. But by and large, humans are part of the minority of mammals that do not

sleep for short periods of time throughout the day, instead dividing their days between sleep and wakefulness. However, there are some benefits to catching a midday snooze. The Mayo Clinic says napping can be a way to catch up on sleep lost during the night or if a person is feeling sleep-deprived. It also may be a way to relax, increase alertness and improve mood. Naps should take place before 3 p.m. and not exceed 20 minutes. The longer and later one naps, the greater the potential it will interfere with nighttime sleeping or backfire and cause daytime grogginess.

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SENIOR LIVING | NUTRITION

Take Supplements A

s you get older, you may need to add dietary supplements to your daily diet to add extra nutrients to your diet or lower your risk of health problems. Dietary supplements come in many different forms such as pills capsules, powders, gel capsules or liquids. Many dietary supplements contain different vitamins, minerals fiber, amino acids, herbs and other enzymes. It is important to understand supplements are not intended to prevent to treat, diagnose or prevent disease or sickness. Unlike drugs, you don’t need to see a doctor to take dietary supplements nor do you need to a prescription to take supplements. It is recommended by the Centers for Disease Control and Prevention that you see a doctor if you are unsure of what supplements to take. WHAT ARE THE RISKS? Just like everything else you take or put into your body, there are some risks to taking supplements, especially for older consumers of vitamins. There are certain products that may do more harm than good and create unexpected risks. Many supplements contain some ingredients that triggers effects in your body. If you are taking prescription or over-the-counter medicine, extra supplements may cause unexpected results. Another circumstance to take into account is if you are planning

surgery. Talk to your doctor about any and all supplements you may be taking. The Federal Drug Administration says supplements may have an effect before, during or after your surgery. Your doctor may ask you to cease taking the supplements two or three weeks before your surgery. Too much of a good thing can be bad for you. You have to consider your age, health status and what you are taking. Taking too much of different vitamins and supplements may cause the effects of each supplement to interfere with each other and harm your health. TALK TO YOUR HEALTH CARE PROVIDER The FDA says you and your health professionals are a team working toward a common goal, a developed and personalized plan for you. That being said, it is important to let them know everything you are taking or are planning to take. Your doctors and other health care professionals will help professionals monitor your health and how certain supplements affect your body. It is important to understand they may not have every answer for your questions and concerns but they can consult other professionals that may.

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14 • The Rogersville Review: Senior Review • May 1, 2021

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The Role Different Vitamins Play Recognizing the many functions vitamins serve may compel adults and adolescents to include more fruits and vegetables in their diets. • Vitamin A: Vitamin A helps form and maintain healthy teeth, bones, soft tissue, mucous membranes, and skin. According to the World Health Organization, vitamin A deficiency is the leading cause of preventable blindness in children and increases the risk of disease and death from severe infections. • Vitamin B6: Vitamin B6 helps form red blood cells and maintain brain function. Though the National Institutes of Health notes that isolated vitamin B6

deficiency is uncommon, a deficiency has been associated with various conditions, including a weakened immune system and dermatitis cheilitis, a condition marked by scaling on the lips and cracks at the corners of the mouth. • Vitamin C: Vitamin C is an antioxidant that promotes healthy teeth and gums, helps the body absorb iron and maintains healthy tissue. In addition, vitamin C plays an integral role in helping wounds heal. Vitamin C deficiency impairs bone function, and Merck notes that in children that impairment can cause bone lesions and contribute to poor

bone growth. • Vitamin D: The USNLM notes that 10 to 15 minutes of sunshine three times per week is enough to produce the body’s vitamin D requirement for people at most latitudes. It’s hard to rely on food to supply ample vitamin D, which helps the body absorb calcium that is necessary for the development and maintenance of healthy teeth and bones. • Vitamin E: Vitamin E helps the body form red blood cells and utilize vitamin K. Green, leafy vegetables like spinach and broccoli are good sources of vitamin E. Vitamin E deficiency can cause nerve and muscle

damage, potentially leading to muscle weakness and vision problems. • Vitamin K: Vitamin K helps to make certain proteins that are needed for blood clotting and the building of bones. The main type of vitamin K is found in green leafy vegetables like collard greens, kale and spinach. Vitamin K deficiency is rare, but it can lead to bleeding, hemorrhaging or osteoporosis. Vitamins are crucial to human beings’ overall health. Eating ample amounts of fruits and vegetables is a great and delicious way to avoid vitamin deficiency.

Gluten-Free Baking: Easy and Tasty

Gluten-free diets are a necessity for people who have Celiac’s Disease, a condition that causes an immune reaction in the small intestine from eating gluten. This reaction causes damage to the small intestines that can lead to pain and other symptoms. Going gluten-free also is a choice for people who experience other reactions to eating gluten products that are not related to Celiac’s, or have been instructed to do so on the advice of their nutritionists or doctors. These flavor-packed cinnamon cookies are sure to wow friends and family at gatherings, like spring picnics or Memorial Day Celebrations, even if they don’t need to follow gluten-free living.

GLUTEN-FREE BUTTERY SNICKERDOODLES

Courtesy of King Arthur Baking Company ough D 8 tablespoons unsalted butter, at room temperature* 3/4 cup sugar 1 large egg 1 teaspoon vanilla extract 1/2 teaspoon salt*

1 teaspoon baking powder 1-1/3 cups Gluten-Free Measure for Measure Flour *If you use salted butter, decrease the salt to 1/4 teaspoon Coating 2 tablespoons sugar 1 to 1-1/2 teaspoons cinnamon, to taste Preheat the oven to 375 F. Lightly grease (or line with parchment) two baking sheets. To make the cookies: Beat together the butter

and sugar until smooth. Add the egg, beating until smooth. Beat in the vanilla, salt, and baking powder. Add the flour, mixing until totally incorporated. To make the coating: Shake together the sugar and cinnamon in a medium-sized zip-top plastic bag. Drop small (1-inch diameter) balls of dough into the bag; a teaspoon cookie scoop works well here. Roll/toss the cookies in the cinnamon-sugar until they’re completely coated. Space the cookies at least 1-1/2 apart on the prepared baking sheets. Use a flat-bottom glass to flatten them to about 3⁄8 thick; they’ll be about 1-1/2 in diameter. Bake the cookies for 8 minutes (for soft cookies) to 10 minutes (for crunchier cookies). Remove them from the oven, and cool them on the pan until they’re firm enough to transfer to a rack to cool completely Store any leftover cookies, well wrapped, at room temperature for several days; freeze for longer storage. Tip: If you prefer chewier cookies, chill the dough before making into cookies and do not press the snickerdoodles as thin.


The Rogersville Review: Senior Review • May 1, 2021 • 15

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Signs of Unsafe Driving in Older Drivers

A license to drive has long been symbolic of independence. Teenage drivers long for the day they earn their licenses and can take to the road without mom or dad riding shotgun, while aging drivers want to keep driving as long as possible so they can come and go as they please in their golden years. There’s no formula drivers and their families can employ to determine when it’s time to take the car keys away from senior citizens. Thankfully, fatal collisions involving older drivers have declined considerably in recent decades. According to the Insurance Institute for Highway Safety, collision-related fatalities among drivers ages 70 and older declined by 15 percent between 1997 and 2018. A host of factors have no doubt contributed to that decline, including lane-assist technology and forward collision warning systems that have become standard offerings on many modern vehicles.

has become a significant concern in recent decades, but it’s often associated with young drivers. However, aging drivers who are easily distracted also pose a safety risk to themselves and other motorists. • Decrease in confidence while driving: Only drivers will know if they feel confident enough to drive safely, and it’s vital that aging drivers be honest with themselves when assessing how they feel when driving. • Having difficulty moving into or maintaining the correct lane of traffic: Lane-assist technology can help drivers recognize how often they’re staying in the correct lane of traffic. When the warning bell goes off frequently, it might be time for older drivers to reconsider if it’s safe for them to be behind the wheel. • Hitting curbs when making right turns or backing up: Hitting curbs when turning or backing up indicates drivers may be having difficulty controlling their vehicles and/or seeing the road, both of As much as technology has which indicate it’s no longer safe helped make driving safer for for drivers to get behind the wheel. everyone, aging drivers should still • Getting scrapes or dents on keep an eye out for certain signs car, garage or mailbox: These signs that may indicate their skills also indicate drivers are having behind the wheel are diminishing trouble controlling their vehicles. and potentially compromising • Driving too fast or too slow for their ability to drive safely. road conditions: This indicates According to AARP, the following drivers are not as alert to their are warning signs of unsafe driving. surroundings as they need to be to • Delayed response to stay safe on the road. unexpected situations: Frequent close calls and narrowly avoiding It’s not easy for aging drivers to collisions when other drivers stop relinquish their drivers’ licenses. suddenly indicate reduced Learning to recognize potential response time that can put aging warning signs of unsafe driving can drivers at an elevated risk of being help aging drivers make the safest involved in an accident. decisions for themselves, their • Becoming easily distracted passengers and their fellow while driving: Distracted driving motorists.

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16 • The Rogersville Review: Senior Review • May 1, 2021

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