Tailoring prehabilitation to address the multifactorial nature of functional capacity for surgery.
Chelsia GillisMiquel Coca-MartinezDaniel Santa MinaPublished in: Journal of human nutrition and dietetics : the official journal of the British Dietetic Association (2022)
Mounting evidence suggests that recovery begins before the surgical incision. The presurgery phase of recovery, namely the preparation for optimal surgical recovery, can be reinforced with prehabilitation. Prehabilitation is the approach of enhancing the functional capacity of the individual to enable them to withstand a stressful event. With this narrative review, we apply the Wilson and Cleary conceptual model of patient outcomes to specify the complex and integrative relationship of health factors that limit functional capacity before surgery. To have the greatest impact on patient outcomes, prehabilitation programs require individualised and coordinated care from medical, nutritional, psychosocial and exercise services.
Keyphrases
- healthcare
- minimally invasive
- mental health
- coronary artery bypass
- public health
- primary care
- palliative care
- physical activity
- high intensity
- quality improvement
- surgical site infection
- pain management
- risk assessment
- acute coronary syndrome
- resistance training
- percutaneous coronary intervention
- molecularly imprinted
- high resolution
- tissue engineering