Aged Care Insite Issue 92 | December 2015 - January 2016 | Page 21

practical living So, we need to make sure we’re providing a good, safe environment so these alternative transport modes won’t increase the risk of injury to older people. What are some of the key contributors to these presentations? I think there’s a number of things we can look at as contributing factors. If we look at the environment people are using the mobility scooters in – such as the footpath, which many people use – it isn’t really set up for mobility scooters. It’s set up for walkers. I think there are some real issues in terms of providing safe environments for mobility scooters. We need to start looking at maybe even separate networks for mobility scooters. Also, if the footpaths aren’t set up well – and many aren’t maintained well for mobility scooters – some users may actually use the roadway. That’s a very, very dangerous thing. If they’re driving their mobility scooters on the road, that means they are interacting with fast-moving vehicles, which puts them at much, much greater risk of being involved in a crash and having a serious injury. We also need to look at making sure people are fit to be operating these devices. There is some suggestion that maybe some people don’t have the fitness to operate a mobility scooter. The paper highlighted issues related to safety and the integration of the scooters into the existing transport network. What are some of the government responses needed to ensure safe outcomes for everyone on the roads? There are a number of issues the government can be [investigating]. There’s little regulation of the design or purchase of mobility scooters. They were initially designed and regulated for people with a disability, so [that’s something the government could look into]. What else can be done on a community level to make the experience safer for older adults? always say to them, if we can keep you in the car for as long as possible, that’s the safest option. However, we also know that there comes the time when people might have to think about reducing driving or even stopping. We also know that’s a big, big decision. There is evidence to suggest that if people don’t plan ahead and make [the decision themselves to stop driving] and look at alternative transport options, it can be quite devastating in terms of reduced mobility and independence, as well as lead to the onset of more medical conditions. So we need to look at how we can promote alternative transport modes. You co-authored a paper on motorised mobility scooter use among older Australians. What trends were revealed about the use of the scooters? We looked at injury data. From 2004 to about 2007, there wasn’t an increase in injuries. But from then until probably the last couple of years, there has been quite an increase, particularly among older users. Now that could well be because the mobility scooter has become more popular, or it could mean it is quite a risky alternative transport mode for some older road users. We need to do a lot more research on that. We know that the car is the safest mode of transport. If we’re promoting mobility and using other forms of transport – whether it’s walking or cycling or using a mobility scooter – people are more vulnerable, because they haven’t got the protection of a car around them. I think many local communities and councils are interested in making sure their areas are suitable for mobility scooters. We’ve talked with a lot of councils that are keen to promote healthy travel for their community members and are looking to make sure they are providing physical environments that support the use of mobility scooters. I think more councils will be designing their public spaces to support more mobility scooters. Why is it important that we get this right, from not just a safety but a lifestyle point of view? I think it gets back to that whole issue of making sure our older population is still able to be mobile. Mobility scooters provide a great opportunity for people who can’t drive or can’t walk long distances. These devices can start to replace shorter trips [in cars], rather than walking or cycling. We would certainly be looking to promote as much of this transport mode as we can, while also ensuring that a safe environment is provided for it. What message would you send to an older person looking to hit the roads on a mobility scooter for the first time? An older person should be looking at exactly what they want to use a mobility scooter for. If it is to engage, or go to shops to do their normal daily errands, that would be a great thing. They should make sure they know the environment they are potentially going to be in is going to be a safe one. And maybe they should even plan ahead and determine the safest and easiest way to use the scooter – and where they should use it as well. They should also make sure they’re going at safe speeds. ■ agedcareinsite.com.au 21