1. Grip strength: Squeeze a stress ball in your hand, holding it squeezed for 5 seconds. Perform this at least thirty times with each hand over the course of a day.
2. Lower body strength: Perform at least one hundred chair sit-stands in a day.
3. Endurance: Walking at least 7,500 steps in a day.

The intervention targets individual behavior, specifically a patient's proclivity to exercise prior to pancreatic resection. The prehabilitation program is tailored to the three most commonly used objective frailty metrics currently available and will be implemented during the initial consultation visit in the surgery outpatient clinic, where patients will undergo baseline testing and then provided with a fitness tracker and stress ball.

Additionally, they will be provided with an activity log to keep track of their daily activity. Shown below is the activity log.

Participant's grip strength will be measured before and after intervention with a Jamar Dynamometer as follows:

1. Hold both arms at 90-degree angles with the arms held close to the body
2. Perform isometric contraction for 5 seconds and measure the pressure generated from this
3. Both handgrips will be measured three times each and averaged. The greater of the two averages will be recorded

The change in the number of times the participant can fully stand up from a seated position in 30 seconds will be measured as follows:

Participant will

1. Sit in the middle of the chair
2. Place their hands on the opposite shoulder crossed at the wrists
3. Keep their feet flat on the floor
4. Keep their back straight and keep their arms against your chest
5. On "Go," rise to a full standing position and then sit back down again
6. Repeat this for 30 seconds
7. If the participant must use his/her arms to stand, stop the test. A score of "0" will be recorded for the number and score. The number of times the patient comes to a full standing position in 30 seconds will be counted. If the patient is over halfway to a standing position when 30 seconds have elapsed, it will count as a stand. Number of times the patient stands in 30 seconds will be recorded.

The change in the participant's 6-minute walk test metrics (vitals and distance walked)

1. Participant's baseline vitals will be recorded, including pulse oximetry prior to walking
2. Participant will walk as far as possible in 6 minutes at a comfortable pace, but not at a run or jog.
3. If they become short of breath or tired, they may slow down, stop, or rest as necessary. Participant may lean against the wall while resting, but will resume walking as soon as they are able.
4. Participant will walk down to the end of the hall, turn around and walk back. They will repeat this until the six minutes have expired.
5. If the participant is unable to complete the full six-minute walk, then the time and distance walked will be recorded as well as the reason for stopping early.

Vitals will be recorded immediately after walking

Participants will complete and record number of stress ball squeezes (Squeezing stress ball in hand and holding it squeezed for 5 seconds) during the prehabilitation period

Number of times squeezed with right hand and number of times squeezed with left hand will be recorded.