What constitutes the ‘Minimal Care’ interventions of the nurse, physiotherapist, dietician and psychologist in Cardiovascular Rehabilitation and secondary prevention: A position paper from the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology

Francesco Fattirolli, Ornella Bettinardi, Elisabetta Angelino, Letizia da Vico, Marina Ferrari, Antonia Pierobon, Daniele Temporelli, Susanna Agostini, Marco Ambrosetti, Barbara Biffi, Silvana Borghi, Silvia Brazzo, Pompilio Faggiano, Manuela Iannucci, Barbara Maffezzoni, Maria Luisa Masini, Antonio Mazza, Roberto Pedretti, Marinella Sommaruga, Sabrina BarroRaffaele Griffo, Massimo Piepoli

Research output: Contribution to journalArticle


Background: In cardiovascular prevention and rehabilitation, care activities are carried out by different professionals in coordination, each with their own specific competence. This GICR–IACPR position paper has analysed the interventions performed by the nurse, physiotherapist, dietician and psychologist in order to identify what constitutes minimal care, and it lists the activities that are fundamental and indispensable for each team member to perform in clinical practice. Results: In analysing each type of intervention, the following dimensions were considered: the level of clinical care complexity, determined both by the disease and by environmental factors; the ‘area’ complexity, i.e. the specific level of competence required of the professional in each professional section; organisational factors, i.e. whether the care is performed in an inpatient or outpatient setting; duration of the rehabilitation intervention. The specific contents of minimal care have been identified for each professional area together with the specific goals, the assessment tools and the main essential interventions. For the assessments, only a few validated tools have been indicated, leaving the choice of which instrument to use to the individual professional based on experience and usual practice. Conclusion: For the interventions, attention has been focused on conditions of major complexity requiring special care, taking into account the different care settings, the clinical conditions secondary to the disease event, and the distinct tasks of each area according to the operator's specific role. The final report performed by each professional has also been included.

Original languageEnglish
JournalEuropean Journal of Preventive Cardiology
Publication statusE-pub ahead of print - Aug 1 2018



  • cardiovascular disease
  • cardiovascular prevention and rehabilitation
  • multidisciplinary team
  • Position paper

ASJC Scopus subject areas

  • Epidemiology
  • Cardiology and Cardiovascular Medicine

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