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.
A Terapia de Aceitação e Compromisso (ACT) é uma terapia contextual que apresenta uma versão breve de aplicação, chamada FACT. Objetivou-se caracterizar a aplicação da FACT e de intervenções breves baseadas na ACT e investigar possibilidades de sua aplicação no cenário brasileiro. Vinte e sete publicações de caráter interventivo entre 2010 e 2020 foram analisadas conforme as características metodológicas e dos pilares da flexibilidade psicológica abordados. As intervenções foram majoritariamente voltadas a pessoas com uma condição clínica de adoecimento, em grupo, com até 4 encontros de 1 a 2 horas de duração, seguidas de follow-up. Os estudos em geral abordaram os três pilares de flexibilidade psicológica. Os EUA foram o país com mais publicações. Não se encontrou publicações brasileiras. Notou-se o interesse pela ACT e pela busca de evidências de sua efetividade por diversos grupos de pesquisa e o caráter flexível desta quanto à procedimentos e à população-alvo. O sistema de saúde brasileiro tem características que o situam como um campo viável de experimentação desta terapia. A FACT é um modelo de terapia promissor, cada vez mais estudada, especialmente no campo da saúde. No Brasil, a falta de estudos da FACT evidencia um campo de pesquisa potencialmente vasto e inexplorado.
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