THE TIME HAS COME FOR A COMMUNITY AND HOME-BASED PREHABILITATION: NARRATIVE OF AN IMPLEMENTATION PROCESS

Patrícia Lages; Gabriel Oliveira; Joana Simões; Paulo Matos Costa

doi:10.34635/rpc.937

Patrícia Lages Serviço de Cirurgia Geral, Hospital Garcia de Orta E.P.E., Almada, Portugal; Faculdade de Medicina, Universidade de Lisboa, Portugal; Team-leader http://orcid.org/0000-0003-3868-5685
Gabriel Oliveira Serviço de Cirurgia Geral, Hospital Garcia de Orta E.P.E., Almada, Portugal http://orcid.org/0000-0002-1631-8043
Joana Simões Serviço de Cirurgia Geral, Hospital Garcia de Orta E.P.E., Almada, Portugal; NIHR Global Health Research Unit for Global Surgery, University of Birmingham, UK
Paulo Matos Costa Serviço de Cirurgia Geral, Hospital Garcia de Orta E.P.E., Almada, Portugal; Faculdade de Medicina, Universidade de Lisboa, Portugal; Director de Serviço, Prof. Catedrático http://orcid.org/0000-0002-7550-8285

Abstract

Optimizing patients’ condition before surgery, bringing patients to their best fitness status, has always been tried by surgeons, even if it was in stochastic models. Setting up a prehabilitation program should take into account patients and their circumstances. To ensure success, programs should be personalized (patient balanced) and aim to ensure patients’ regular support as well as easy and effective contact with the healthcare team. A two-platform clinic was planned based on hospital and community facilities and health care specialists. A wide range of languages and communications systems needed to be merged and operationalized. The governance of this project is a demanding and forever ongoing process. The aim of this paper is to provide a narrative of the why and the how we are setting a community and home-based personalized prehabilitation clinic, and to give a reflective analysis of the process of gathering the right associates to implement this innovation of changing the ways and the places for prehabilitation to happen.

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