Multi-professional care for the patient affected by pemphigus vulgaris
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , |
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. |
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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 |
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1797052738445508608 |