| Affiliation: | 1. School of Human Nutrition, McGill University, Ste Anne de Bellevue, QC, Canada;2. Anesthesia & Surgery Departments, McGill University, Montreal, QC, Canada;3. Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada Department of Anesthesia and Pain Management, University Health Network, Toronto, ON, Canada |
| Abstract: | 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. |
