prehabilitation Flashcards
(47 cards)
what is prehabilitation non- cancer specific definition?
- process of enhancing functional capacity of the individual to enable him/ her to withstand a stressful event
what is the cancer specific definition of prehabilitation?
- defines timing, regime and mentions the possible outcomes
what people prefer the cancer specific definition of prehabilitation?
- preferred by subject-matter experts as it is more thorough
when is prehabilitation used?
- used before surgery to prevent respiratory complications e.g., infection, lung collapse, cough, secretions
what are the four multimodal components of prehabilitation?
- exercise therapy
- nutritional support
- psychological well- being
- lifestyle modifications
what does the multimodal approach help with?
- helps you to be in the best place you can be both physically and mentally before surgery or treatment
where on the cancer continuum of care does prehabilitation take place?
- occurs between the time of cancer diagnosis and the beginning of acute treatment
what are the four core areas where prehabilitation is used?
- cancer
- cardiac
- pulmonary
- transplant
why are there 4 core areas of prehabilitation?
- because pulmonary volumes reduced
- weak muscles so exercise can cause fatigue
when does cancer prehabilitation occur?
- before chemotherapy, radiotherapy, or surgery
when does cardiac prehabilitation occur?
- before CABG, valve replacement, heart transplant
when does pulmonary prehabilitation occur?
- occurs before lung resection, lung transplant
when does transplant prehabilitation occur?
- liver
- kidney
- lung
transplant candidates
why does prehabilitation occur before surgery? what is reduced?C
- major surgeries carry risks, especially in frail/ deconditioned patients
- reduces post- operative complications
what is linked to poorer surgical outcomes?
- sedentary lifestyle
what does prehabilitation improve? (3)
- recovery rates
- functional outcomes
- quality of life
what does prehabilitation decrease?
- decreases hospital stay duration
- decreases use of post- acute care services
what are the four stages when approaching prehabilitation?
- screening
- assessment
- interventions
- monitoring
what is screening?
- detects people at risk
- is the patient fit for prehabilitation?
what are some examples of screening?
- screening for evidence of malnutrition
- screening for physical inactivity
what is the assessment for? what does it help with?
- assessment interprets information
- makes informed decisions about interventions
what are interventions tailored to? - give some examples
- tailored to individual needs
e.g., exercise, nutrition, psychological
what should monitoring be proportionate to? what does it involve?
- proportionate to need
- regular monitoring/ adjustments of plan
what are the three levels of the tiered approach to prehabilitation?
- universal
- targeted
- specialised
