Exercise
Let's get moving
In this section you will find links to resources and tools to help your patients stay active and prepare them for their surgery
Physical activity in the perioperative period
Staying active is one of the best things that patients can do whilst waiting for surgery ("almost", stopping smoking is the best). Those who get fitter before surgery lower their risk of complications, leading to less time in intensive care, shorter bed stays and better outcomes.
Top tips for everyone include:
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Remember how important this is, for your future self
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Remember that it is more dangerous to be inactive than to do some activity
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Put it in your diary, make it a habit
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Pick an activity that works for you (swimming, cycling, brisk walking, etc)
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Get family, friends, partner involved
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Set goals and mini-rewards
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Sign up for something, so you do the training and don’t want to let the team down
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Start slowly and build up: intensity, frequency and duration
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It is almost always safer to be active than to remain physically inactive. Stop if you: Get heart pain, irregular heartbeat, dizziness or a sudden change in vision; have an infection making you feel unwell
Supporting patients to stay active
Below you will find tools and links to resources to help your patients stay active and prepare them for surgery.
We have partnered with Joe Wicks to release exercise videos for people who are waiting for surgery, to help them recover quicker. Click here to see the videos and more from Joe and CPOC
Moving Medicine information and advice on how to have include exercise as a motivational interviewing consultation in one minute
We are undefeatable is a physical activity offer for inspiration, ideas and resources. Read stories of people living with long term health conditions, and how they have found their way to move more. The Five in Five initiative allows for building small amounts of activity into your day, and is a five minute mini customisable workout.
A toolkit consisting of short videos of various exercise routines. There is also a collection of personal stories and advice from those living with arthritis and tips from physiotherapists on keeping active
Read Dr Rebecca Barker's blog, who talks about the impact that prehabilitation can have on surgical outcomes.
Fitter For Surgery, Fitter For Life - From Concept to Reality
The British Society of Lifestyle Medicine offers resources on lifestyle medicine and physical activity, as well as a podcast series called "Movement Prescription Podcast".
A collection by MacMillan Cancer Support of videos, podcasts and physical activity guides to help healthcare professionals support their patients with cancer
Fitter patients who are able to improve their health and activity levels recover from surgery more quickly and with fewer complications.
The Royal College of Anaesthetists' Fitter Better Sooner resources will provide information needed to become fitter and better prepared for surgery
Dr Louise Bates from Queens Alexandra Hospital in Portsmouth is the CPOC rep at Swim England. With support from NHS England e-learning for healthcare, Aquatic Therapy Association of Chartered Physiotherapists and University of Nottingham, Swim England has developed an e-learning programme on the unique health benefits of aquatics and swimming. You can access the programme here.
For anyone wishing to set up prehab/rehab programs, Pool Finder is a way of finding accessible pools: Pool Finder.
Disclaimer
CPOC has not undertaken a full review of these resources, unless it specifically states CPOC endorsement has been granted. CPOC is simply providing links to these resources.