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

Abstract

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
Pages (from-to)1799-1810
Number of pages12
JournalEuropean Journal of Preventive Cardiology
Volume25
Issue number17
DOIs
Publication statusPublished - Nov 2018

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Nutritionists
Physical Therapists
Secondary Prevention
Epidemiology
Nurses
Psychology
Professional Competence
Mental Competency
Inpatients
Outpatients
Rehabilitation
Cardiac Rehabilitation

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

In: European Journal of Preventive Cardiology, Vol. 25, No. 17, 11.2018, p. 1799-1810.

Research output: Contribution to journalArticle

Fattirolli, F, Bettinardi, O, Angelino, E, da Vico, L, Ferrari, M, Pierobon, A, Temporelli, D, Agostini, S, Ambrosetti, M, Biffi, B, Borghi, S, Brazzo, S, Faggiano, P, Iannucci, M, Maffezzoni, B, Masini, ML, Mazza, A, Pedretti, R, Sommaruga, M, Barro, S, Griffo, R & Piepoli, M 2018, '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', European Journal of Preventive Cardiology, vol. 25, no. 17, pp. 1799-1810. https://doi.org/10.1177/2047487318789497
Fattirolli, Francesco ; Bettinardi, Ornella ; Angelino, Elisabetta ; da Vico, Letizia ; Ferrari, Marina ; Pierobon, Antonia ; Temporelli, Daniele ; Agostini, Susanna ; Ambrosetti, Marco ; Biffi, Barbara ; Borghi, Silvana ; Brazzo, Silvia ; Faggiano, Pompilio ; Iannucci, Manuela ; Maffezzoni, Barbara ; Masini, Maria Luisa ; Mazza, Antonio ; Pedretti, Roberto ; Sommaruga, Marinella ; Barro, Sabrina ; Griffo, Raffaele ; Piepoli, Massimo. / 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. In: European Journal of Preventive Cardiology. 2018 ; Vol. 25, No. 17. pp. 1799-1810.
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T2 - A position paper from the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology

AU - Fattirolli, Francesco

AU - Bettinardi, Ornella

AU - Angelino, Elisabetta

AU - da Vico, Letizia

AU - Ferrari, Marina

AU - Pierobon, Antonia

AU - Temporelli, Daniele

AU - Agostini, Susanna

AU - Ambrosetti, Marco

AU - Biffi, Barbara

AU - Borghi, Silvana

AU - Brazzo, Silvia

AU - Faggiano, Pompilio

AU - Iannucci, Manuela

AU - Maffezzoni, Barbara

AU - Masini, Maria Luisa

AU - Mazza, Antonio

AU - Pedretti, Roberto

AU - Sommaruga, Marinella

AU - Barro, Sabrina

AU - Griffo, Raffaele

AU - Piepoli, Massimo

PY - 2018/11

Y1 - 2018/11

N2 - 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.

AB - 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.

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DO - 10.1177/2047487318789497

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JO - European Journal of Preventive Cardiology

JF - European Journal of Preventive Cardiology

SN - 2047-4873

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