Multi-professional care for the patient affected by pemphigus vulgaris

Detalhes bibliográficos
Autor(a) principal: Nascimento, Maikiane Aparecida
Data de Publicação: 2020
Outros Autores: Brito, Adryelli Joicyr, Santos, Ildeny Alves dos, Borges, Marielly Sousa, Silva, Daniela Rosa da, Sakai, Jennifer David Silva, Ferreira, Ivia Carla Nunes, Manrique, Edna Joana Claudio, Duarte, Lucélia da Silva
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/6596
Resumo: Patients suffering from pemphigus vulgaris need specialized care. Thus, in their comprehensive care, multi-professional action is essential to meet the different technical challenges of the disease. The objective was to report a case of pemphigus vulgaris and multi-professional performance. This is a descriptive study of the case report of a patient seen at a referral hospital for pemphigus. The information necessary to describe the case was collected after approval by the Research Ethics Committee. The patient arrived at the hospital with diffuse crusty lesions with associated pruritus throughout the body for approximately two months. After clinical evaluation and laboratory examination, the histological examination found the presence of a supra-basal intraepidermal bubble, with the presence of acantholytic cells inside the bubble, concluding as pemphigus vulgaris. During hospitalization, the patient had several secondary infections, used corticosteroids, analgesics, polyantibiotic therapy, and immunoglobulin. At the end of 78 days of hospitalization, he developed complications and died. Early diagnosis and the start of rapid treatment delay the evolution of the disease, improving the appearance of the lesions, which reduces the length of hospital stay and the risk of infections occurring. Therefore, the performance of the multi-professional team contributes to solving the challenges related to the disease, such as improvement in physical, emotional, nutritional, and patient safety. We emphasize measures for the prevention and control of infections, such as, for example, hand hygiene by all professionals, the use of personal protective equipment in the management of the patient, and adequate hygiene of the environment.
id UNIFEI_5bd89f480cb1c9ead0678a36647c316f
oai_identifier_str oai:ojs.pkp.sfu.ca:article/6596
network_acronym_str UNIFEI
network_name_str Research, Society and Development
repository_id_str
spelling Multi-professional care for the patient affected by pemphigus vulgarisAtención multi-profesional para lo paciente afectado por pénfigo vulgarAbordagem multiprofissional para o paciente acometido por pênfigo vulgarPemphigusDelivery of health carePatient care team.Pênfigo VulgarCuidados de saúdeEquipe multiprofissional.Pénfigo vulgarCuidados de la saludEquipo multi-profesional.Patients suffering from pemphigus vulgaris need specialized care. Thus, in their comprehensive care, multi-professional action is essential to meet the different technical challenges of the disease. The objective was to report a case of pemphigus vulgaris and multi-professional performance. This is a descriptive study of the case report of a patient seen at a referral hospital for pemphigus. The information necessary to describe the case was collected after approval by the Research Ethics Committee. The patient arrived at the hospital with diffuse crusty lesions with associated pruritus throughout the body for approximately two months. After clinical evaluation and laboratory examination, the histological examination found the presence of a supra-basal intraepidermal bubble, with the presence of acantholytic cells inside the bubble, concluding as pemphigus vulgaris. During hospitalization, the patient had several secondary infections, used corticosteroids, analgesics, polyantibiotic therapy, and immunoglobulin. At the end of 78 days of hospitalization, he developed complications and died. Early diagnosis and the start of rapid treatment delay the evolution of the disease, improving the appearance of the lesions, which reduces the length of hospital stay and the risk of infections occurring. Therefore, the performance of the multi-professional team contributes to solving the challenges related to the disease, such as improvement in physical, emotional, nutritional, and patient safety. We emphasize measures for the prevention and control of infections, such as, for example, hand hygiene by all professionals, the use of personal protective equipment in the management of the patient, and adequate hygiene of the environment.Los pacientes que sufren de pénfigo vulgar necesitan atención especializada. Por lo tanto, en su atención integral, la acción multi-profesional es esencial para enfrentar los diferentes desafíos técnicos de la enfermedad. El objetivo fue reportar un caso de pénfigo vulgar y desempeño multi-profesional. Este es un estudio descriptivo del informe del caso de un paciente atendido en un hospital de referencia para pénfigo. La información necesaria para describir el caso se recopiló después de la aprobación del Comité de Ética en Investigación. El paciente llegó al hospital con lesiones crujientes difusas con prurito asociado en todo el cuerpo durante aproximadamente dos meses. Después de la evaluación clínica y el examen de laboratorio, el examen histológico encontró la presencia de una burbuja intraepidérmica suprabasal, con la presencia de células acantolíticas dentro de la burbuja, que concluye como pénfigo vulgar. Durante el curso de la hospitalización, el paciente tuvo varias infecciones secundarias, usó corticosteroides, analgésicos, terapia con poliantibióticos e inmunoglobulina. Al final de los 78 días de hospitalización, desarrolló complicaciones y murió. El diagnóstico precoz y el inicio del tratamiento rápido retrasan la evolución de la enfermedad, mejoran la apariencia de las lesiones, lo que reduce la duración de la estancia hospitalaria y el riesgo de infecciones. Por lo tanto, el desempeño del equipo multi-profesional contribuye a resolver desafíos relacionados con la enfermedad, tales como: mejora en la seguridad física, emocional, nutricional y del paciente. Hacemos hincapié en las medidas para la prevención y el control de infecciones, como, por ejemplo, la higiene de manos por parte de todos los profesionales, el uso de equipos de protección personal en el tratamiento del paciente y la higiene adecuada del medio ambiente.Pacientes acometidos por pênfigo vulgar necessitam de cuidados especializados. Assim, para assistência integral destes é imprescindível a atuação multiprofissional para atender os diferentes desafios técnicos da doença. O objetivo foi relatar um caso de pênfigo vulgar e a atuação multiprofissional. Trata-se de um estudo descritivo do tipo relato de caso de paciente atendido em hospital de referência para pênfigo. Foram coletadas as informações necessárias para descrever o caso após a aprovação no Comitê de Ética em Pesquisa. O paciente chegou ao hospital apresentando lesões crostosas difusas com prurido associado em todo o corpo há aproximadamente dois meses. Após avaliação clínica e exames laboratoriais, verificou no exame histológico presença de bolha intraepidérmica supra-basal, com presença de células acantolíticas internas a bolha, concluindo como pênfigo vulgar. Durante o curso da internação o paciente apresentou várias infecções secundárias, usou corticosteroides, analgésicos, poliantibioticoterapia e imunoglobulina. Ao final de 78 dias de internação apresentou complicações evoluindo para o óbito. O diagnóstico precoce e o início do tratamento rápido retardam a evolução da doença melhorando o aspecto das lesões o que diminui o tempo de internação e o risco da ocorrência de infecções. Portanto, a atuação da equipe multiprofissional contribui na resolução dos desafios referente à doença, tais como: melhoria nos aspectos físicos, emocionais, nutricionais e segurança do paciente. Salientamos as medidas de prevenção e controle de infecções, como por exemplo, a higienização das mãos por todos profissionais, uso de equipamentos de proteção individual no manejo do paciente e a adequada higienização do ambiente.Research, Society and Development2020-07-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/659610.33448/rsd-v9i8.6596Research, Society and Development; Vol. 9 No. 8; e778986596Research, Society and Development; Vol. 9 Núm. 8; e778986596Research, Society and Development; v. 9 n. 8; e7789865962525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/6596/5219Copyright (c) 2020 Maikiane Aparecida Nascimento, Adryelli Joicyr Brito, Ildeny Alves dos Santos, Marielly Sousa Borges, Daniela Rosa da Silva, Jennifer David Silva Sakai, Ivia Carla Nunes Ferreira, Edna Joana Claudio Manrique, Lucélia da Silva Duartehttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessNascimento, Maikiane AparecidaBrito, Adryelli JoicyrSantos, Ildeny Alves dosBorges, Marielly SousaSilva, Daniela Rosa daSakai, Jennifer David SilvaFerreira, Ivia Carla NunesManrique, Edna Joana ClaudioDuarte, Lucélia da Silva2020-08-20T18:00:17Zoai:ojs.pkp.sfu.ca:article/6596Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:29:40.262335Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Multi-professional care for the patient affected by pemphigus vulgaris
Atención multi-profesional para lo paciente afectado por pénfigo vulgar
Abordagem multiprofissional para o paciente acometido por pênfigo vulgar
title Multi-professional care for the patient affected by pemphigus vulgaris
spellingShingle Multi-professional care for the patient affected by pemphigus vulgaris
Nascimento, Maikiane Aparecida
Pemphigus
Delivery of health care
Patient care team.
Pênfigo Vulgar
Cuidados de saúde
Equipe multiprofissional.
Pénfigo vulgar
Cuidados de la salud
Equipo multi-profesional.
title_short Multi-professional care for the patient affected by pemphigus vulgaris
title_full Multi-professional care for the patient affected by pemphigus vulgaris
title_fullStr Multi-professional care for the patient affected by pemphigus vulgaris
title_full_unstemmed Multi-professional care for the patient affected by pemphigus vulgaris
title_sort Multi-professional care for the patient affected by pemphigus vulgaris
author Nascimento, Maikiane Aparecida
author_facet Nascimento, Maikiane Aparecida
Brito, Adryelli Joicyr
Santos, Ildeny Alves dos
Borges, Marielly Sousa
Silva, Daniela Rosa da
Sakai, Jennifer David Silva
Ferreira, Ivia Carla Nunes
Manrique, Edna Joana Claudio
Duarte, Lucélia da Silva
author_role author
author2 Brito, Adryelli Joicyr
Santos, Ildeny Alves dos
Borges, Marielly Sousa
Silva, Daniela Rosa da
Sakai, Jennifer David Silva
Ferreira, Ivia Carla Nunes
Manrique, Edna Joana Claudio
Duarte, Lucélia da Silva
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Nascimento, Maikiane Aparecida
Brito, Adryelli Joicyr
Santos, Ildeny Alves dos
Borges, Marielly Sousa
Silva, Daniela Rosa da
Sakai, Jennifer David Silva
Ferreira, Ivia Carla Nunes
Manrique, Edna Joana Claudio
Duarte, Lucélia da Silva
dc.subject.por.fl_str_mv Pemphigus
Delivery of health care
Patient care team.
Pênfigo Vulgar
Cuidados de saúde
Equipe multiprofissional.
Pénfigo vulgar
Cuidados de la salud
Equipo multi-profesional.
topic Pemphigus
Delivery of health care
Patient care team.
Pênfigo Vulgar
Cuidados de saúde
Equipe multiprofissional.
Pénfigo vulgar
Cuidados de la salud
Equipo multi-profesional.
description Patients suffering from pemphigus vulgaris need specialized care. Thus, in their comprehensive care, multi-professional action is essential to meet the different technical challenges of the disease. The objective was to report a case of pemphigus vulgaris and multi-professional performance. This is a descriptive study of the case report of a patient seen at a referral hospital for pemphigus. The information necessary to describe the case was collected after approval by the Research Ethics Committee. The patient arrived at the hospital with diffuse crusty lesions with associated pruritus throughout the body for approximately two months. After clinical evaluation and laboratory examination, the histological examination found the presence of a supra-basal intraepidermal bubble, with the presence of acantholytic cells inside the bubble, concluding as pemphigus vulgaris. During hospitalization, the patient had several secondary infections, used corticosteroids, analgesics, polyantibiotic therapy, and immunoglobulin. At the end of 78 days of hospitalization, he developed complications and died. Early diagnosis and the start of rapid treatment delay the evolution of the disease, improving the appearance of the lesions, which reduces the length of hospital stay and the risk of infections occurring. Therefore, the performance of the multi-professional team contributes to solving the challenges related to the disease, such as improvement in physical, emotional, nutritional, and patient safety. We emphasize measures for the prevention and control of infections, such as, for example, hand hygiene by all professionals, the use of personal protective equipment in the management of the patient, and adequate hygiene of the environment.
publishDate 2020
dc.date.none.fl_str_mv 2020-07-20
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/6596
10.33448/rsd-v9i8.6596
url https://rsdjournal.org/index.php/rsd/article/view/6596
identifier_str_mv 10.33448/rsd-v9i8.6596
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/6596/5219
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 9 No. 8; e778986596
Research, Society and Development; Vol. 9 Núm. 8; e778986596
Research, Society and Development; v. 9 n. 8; e778986596
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
_version_ 1797052738445508608