Hilary C. Siebens

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OBJECTIVES Primary care for people with disabilities often concentrates on underlying debilitating disorders to the exclusion of preventive health concerns. This study examined use of screening and preventive services among adults with mobility problems (difficulty walking, climbing stairs, or standing for extended periods). METHODS The responses of(More)
OBJECTIVE Older adults hospitalized for nondisabling diagnoses can lose functional ability. Lack of exercise or physical activity during the acute illness and recovery may be contributory. This study evaluated whether increased exercise in hospital and afterward would shorten length of stay and improve physical function at 1 month. DESIGN A randomized(More)
OBJECTIVES To develop and validate an instrument for stratifying older patients at the time of hospital admission according to their risk of developing new disabilities in activities of daily living (ADL) following acute medical illness and hospitalization. DESIGN Multi-center prospective cohort study. SETTING Four university and two private non-federal(More)
Loss of independent eating capacity is a major problem for the institutionalized elderly. Few studies have examined the factors associated with loss of functional eating capacity. The authors cross-sectionally studied 240 residents of a skilled nursing facility, classified their functional eating status, identified correlated deficits, and followed these(More)
BACKGROUND: Lower extremity mobility difficulties often result from common medical conditions and can disrupt both physical and emotional well-being. OBJECTIVES: To assess the national prevalence of mobility difficulties among noninstitutionalized adults and to examine associations with demographic characteristics and other physical and mental health(More)
The potential safety and effectiveness of a practice guideline recommending a 5-day postoperative stay in the acute care hospital for hip surgery patients without clinical findings predictive of a complicated hospital course was studied retrospectively in 230 patients hospitalized for total hip replacement, total hip replacement with osteotomy, or hip(More)
OBJECTIVE To examine the association of weight-bearing status with patient-related variables and outcomes of inpatient rehabilitation after hip arthroplasty for acute hip fracture. DESIGN A multi-site prospective observational cohort study. SETTING Eighteen skilled nursing and inpatient rehabilitation facilities. SUBJECTS Patients with hip fractures(More)
OBJECTIVE To assess the satisfaction of surrogate decision-makers with the decision to place feeding tubes in elderly patients with impaired decision-making capacity. DESIGN Inception cohort followed for 5 weeks. SETTING Four hospitals in the greater Los Angeles area. PARTICIPANTS Fifty-eight surrogate decision-makers for elderly patients (over 60)(More)
OBJECTIVE To examine the relations among cognitive and emotional function and other patient impairment and demographic variables and the performance of daily activities. DESIGN Cohort. SETTING Acute inpatient rehabilitation, skilled nursing facilities, home care, and outpatient clinics. PARTICIPANTS Adults (N=534) receiving services for neurologic(More)