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. (29th August 2020)

• Record Type: Journal Article
• Authors: 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
• Is Part Of: European journal of preventive cardiology. Volume 25:Number 17(2018)
• Page Start: 1799
• Page End: 1810
• Publication Date: 2020-08-29
• Subjects: Position paper -- cardiovascular prevention and rehabilitation -- cardiovascular disease -- multidisciplinary team; Cardiovascular system -- Diseases -- Prevention -- Periodicals; Cardiac patients -- Rehabilitation -- Periodicals; 616.12
• DOI: 10.1177/2047487318789497
• Languages: English
• ISSNs: 2047-4873

Abstract

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.