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For Pless et al.

Françoise Dolto – la causa de los adolescentes | Nahúm Ruiz –

Demonstrating the importance of multidisciplinary analyses and approaches to providing care and monitoring for a patient with a chronic disease. If we open a chrysalis, we find only water With the results of the laboratory examinations leukocytosis with left deviation, evidence of very high inflammatory activities and chronic anemia and having dismissed other diagnoses tuberculosis, leukosis, bacterial endocarditis and other infectionsthe conclusion was reached that this was the case of juvenile idiopathic arthritis JIA in its systemic form Still’s disease.

In order to define the clinical diagnosis of a chronic disease, it is essential to obtain a detailed clinical history of the patient. In order to meet his needs, a place was found with a foster family. Although everything was explained to this adolescent, he did not feel comfortable with the idea.

The relatively long time between his admission to hospital and his diagnosis allowed links of trust to build up between the patient and the team. Cadernos sobre o mal: If we adapt these concepts related to chronic disease to the adolescent universe, the contextual complexity will certainly increase significantly. As he needed medical care, he was referred to a front-line clinic State Civil Defense and Health Bureauwhere he was diagnosed with possible pneumonia, treated with IV antibiotics for three days and transferred to our unit, characterized as a ‘street dweller and crack user’.

A year-old adolescent in the adilescentes ward at a public hospital in Rio de Janeiro diagnosed with idiopathic juvenile arthritis. However, cases of negligence are noted. However, a deadlock occurred: In order to assist him, he was sent by the Guardians’ Council to a adolescenyes house run by the Municipal Social Welfare Bureau.

Social Worker, Piedade Municipal Hospital. Chronic disease is slotted into a context whose complexity varies, with periods of relative tranquillity alternating with periods during which the clinical situation worsens, resulting in generally lengthy hospitalizations as required to return to an even balance.


Pediatrics ; 58 1: He was not accustomed to receiving attention and to have people adolescenes at him in a situation of care rather that threat. This comparison is valid insofar as newborns die for something in order to be reborn into something else, including adolescents, who leave their dying childhood behind.

La Causa de Los Adolescentes

According to Joel Birman: The chronic patient requires special medical, psychological or educational care and specific facilities at school or at home. Their families are largely single-parent, consisting mainly of mothers caring for offspring who often have different biological fathers. Even the term ‘chronic disease’ is not unanimously accepted as appropriate – some authors feel that the phrase ‘chronic condition’ is more appropriate.

During his hospitalization, adolesfentes interdisciplinary healthcare team was able to gradually learn about the real clinical symptoms of this patient.

During his hospitalization, the patient reported that he was very scared of drugs because of the pains he felt in his body when their effect faded away.

Alone due to negligence, he wandered through the streets with no purpose or constraints.

Launched very young into brutal social experiences, these children are forced to be adolescents and even adults at very young ages, precociously surviving terrible things that are almost impossible at their ages. The J Pediatr ; 3: For children and adolescents the family is normally the best and most valuable source of information, obviously assuming that such children and adolescents are endowed with a minimally efficacious family structure xdolescentes affection and protection are constant practice in the daily lives of cxusa patients.

This paper presents a case study of a fifteen year old boy living in the streets, who was admitted to the teen ward of a municipal hospital in Rio de Janeiro, in order to investigate his clinical status of widespread pain and high fever every day.

Framework for identifying children who have chronic conditions – the case for a new definition. Little by little, the entire team arrived, and at no time did C appear hostile.

We describe his routine from hospitalization through to diagnosis and the impact caused by this new status on his life and those of the practitioners in the various specialties monitoring him throughout this entire period.


Juvenile Idiopathic Arthritis may progress through peaks or present as a single outbreak in the course of the patient’s lifetime. Children attend school very little, and when they do so, they ls forced to work in some way in order to contribute to family incomes.

When its impacts are severe, changes are required in the habits and routines of the patient and his family. We stress the extreme importance of a multidisciplinary approach for resolving this case, ratifying the need to ensure more specific institutional support programs that are attuned to the needs of this group of patients.

He is in a chrysalis, with nothing to say to ,a, in the water. There is no consensus in the literature on this concept.

He said that the pain was unbearable. His blanket and position when lying down recall a cocoon. The clinical diagnosis had been defined.


He seemed to want to protect himself as he did in the street. Despite possible correction or compensation, negative impacts on the social contexts of adklescentes remain severe.

We believe that the life lx this adolescent was saved to a great extent by the strong and affectionate links that he built up with the professionals working at the Halfway House, established before he was admitted to hospital and proven by the presence and commitment of these caausa to him and to ourselves throughout the entire process, all intended to seek the best possible outcome for his case, which was discussed at a interdisciplinary war meeting, as well as on other occasions with the Halfway House coordinator and the patient himself.

We also stress the specific characteristics of our patient who, due to a lengthy hospitalization period in our unit, built up relationships of mutual trust with all the practitioners, paving the way for him to take the first step towards redeeming his own identity. Even using a vocabulary belonging to the free world, adolescentss gradually accepted our welcome.