First definition of Minimal Care model: the role of nurses, physiotherapists, dietitians and psychologists in preventive and rehabilitative cardiology

https://doi.org/10.4081/monaldi.2014.55

Authors

  • Ornella Bettinardi | o.bettinardi@ausl.pc.it Psicologo U.O.C. di Emergenza Urgenza Psichiatrica, DSMDP AUSL di Piacenza, Piacenza, Italy.
  • Letizia da Vico Dietista Dipartimento delle Professioni Sanitarie, Azienda Ospedaliero Universitaria Careggi, Firenze, Italy.
  • Antonia Pierobon Psicologo Servizio di Psicologia, Fondazione Salvatore Maugeri-IRCCS Istituto Scientifico di Montescano, Pavia, Italy.
  • Manuela Iannucci Fisioterapista UOD Riabilitazione Cardiologica Presidio Ospedaliero S. Filippo Neri - Presidio Salus Infirmorum Roma, Italy.
  • Barbara Maffezzoni Infermiere Dipartimento di Cardiologia ASL3 Genovese S.S.D. Cardiologia Riabilitativa Degenziale Ospedale “La Colletta” Arenzano, Genova, Italy.
  • Silvana Borghi Infermiere Dipartimento cardiovascolare IRCCS Gruppo MultiMedica, Milano, Italy.
  • Marina Ferrari Infermiere Cardiologia Riabilitativa Specialistica, Fondazione Salvatore Maugeri-IRCCS Istituto Scientifico di Montescano, Pavia, Italy.
  • Silvia Brazzo Dietista Ambulatorio di Dietetica e Nutrizione Clinica, Fondazione Salvatore Maugeri-IRCCS Istituto Scientifico di Pavia, Pavia, Italy.
  • Antonio Mazza Fisioterapista U.O. Cardiologia Riabilitativa, Fondazione Salvatore Maugeri-IRCCS Istituto Scientifico di Pavia, Pavia, Italy.
  • Marinella Sommaruga Psicologo Area Funzionale di Psicologia Clinica e Supporto Sociale Fondazione Salvatore Maugeri-IRCCS Istituto Scientifico Camaldoli, Milano, Italy.
  • Elisabetta Angelino Psicologo Servizio di Psicologia, Fondazione Salvatore Maugeri-IRCCS Presidio Major, Torino, Italy.
  • Barbara Biffi Dietista Servizio di Dietologia e Nutrizione Clinica, Fondazione Don Carlo Gnocchi IRCCS, Firenze, Italy.
  • Susanna Agostini Dietista Azienda per l’Assistenza Sanitaria n. 2 Bassa Friulana-Isontina - Ospedale di Gorizia, Gorizia, Italy.
  • Maria Luisa Masini Dietista Dipartimento delle Professioni Sanitarie, Azienda Ospedaliero Universitaria Careggi, Firenze, Italy.
  • Marco Ambrosetti Cardiologo Cardiologia e Angiologia Riabilitativa, Clinica Le Terrazze Cunardo, Varese, Italy.
  • Pompilio Faggiano Cardiologo U.O. Cardiologia Ospedali Civili di Brescia, Italy.
  • Raffaele Griffo Cardiologo Centro Studi e Formazione GICR-IACPR, Italy.

Abstract

Rehabilitative and preventive cardiology (CRP) is configured as intervention prevention to “gain health†through a process of multifactorial care that reduces disability and the risk of subsequent cardiovascular events. It makes use of an interdisciplinary team in which every professional needs to have multiple intervention paths because of the different levels of clinical and functional complexity of cardiac patients who currently have access to the rehabilitation. The document refers to the use of interventions by nurses, physiotherapists, dietitians and psychologists that are part of the rehabilitation team of CRP. Interventions of which have been documented, on scientific bases and clinical practice, empirical effectiveness and organizational efficiency. The methodological approach of this paper is a first attempt to define, through the model of consensus, the minimum standards for a CRP evidence based characterized by clearly defined criteria that can be used by operators of CRP. The document describes the activities to be carried out in each of the phases included in the pathways of care by nurses, physiotherapists, dietitians and psychologists. The routes identified were divided, according to the type of patients who have access to the CRP and to the phases of care, including the initial assessment, intervention, evaluation and final reporting, in high medium and low complexity. Examples of models of reporting, used by the operators of the team according to the principles of good clinical practice, are provided. This is made to allow traceability of operations, encourage communication inside the working group and within the patient and the caregiver. Also to give any possible indication for the post-rehabilitation.

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Published
2015-08-21
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Keywords:
interdisciplinary team, evidence based, care pathways, consensus
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How to Cite
Bettinardi, Ornella, Letizia da Vico, Antonia Pierobon, Manuela Iannucci, Barbara Maffezzoni, Silvana Borghi, Marina Ferrari, Silvia Brazzo, Antonio Mazza, Marinella Sommaruga, Elisabetta Angelino, Barbara Biffi, Susanna Agostini, Maria Luisa Masini, Marco Ambrosetti, Pompilio Faggiano, and Raffaele Griffo. 2015. “First Definition of Minimal Care Model: The Role of Nurses, Physiotherapists, Dietitians and Psychologists in Preventive and Rehabilitative Cardiology”. Monaldi Archives for Chest Disease 82 (3). https://doi.org/10.4081/monaldi.2014.55.

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