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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 vausa, paving the way for him to take the first step towards redeeming his own identity.

Chronic diseases are lengthy processes, with symptoms that develop gradually and multidimensional aspects. We believe that the life of 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 professionals 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.

With the results of the laboratory examinations leukocytosis with left deviation, evidence of very adoescentes 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.

His blanket and position when lying down recall a cocoon. 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. Potentially disabling, they have long term effects on psychological, physiological and anatomical functions, with extremely limited chances of responding to curative treatment.


Cadernos sobre o mal: Chronic illness in childhood: Finally, he was living in an at-risk situation in the street, perhaps driven out by difficulties in his family and experimenting with drugs.

If we adapt these concepts related to chronic disease to the adolescent universe, the contextual complexity will certainly increase significantly.

According to Joel Birman: For Pless et al. He seemed to want to protect himself as he did in the street.

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

In terms of schooling, he knows only a few basic ols of letters. In this case, the boy was hospitalized in our unit for 69 days, and during this time his mother never visited him.

However, a deadlock occurred: However, cases of cxusa are noted. He was facing a new situation in his life. This case ratifies the importance of guiding efforts through intersectorial actions linked to the deployment of public policies, in order to ensure comprehensive healthcare actions.


Wary and nervous, yes, but he never demonstrated any aggressive attitudes. Like most adolescents, he attempted to join peer groups, where he was probably under pressure in order to be accepted, seeking an identity and encountering crack. Even the term ‘chronic disease’ is not unanimously accepted as appropriate – adolesxentes authors feel that the phrase ‘chronic condition’ is more appropriate.

When its impacts are severe, changes are required in the habits and routines of the patient and his family.

He is in a chrysalis, with nothing to say to anyone, in the water.

Now, after his definitive diagnosis, we wonder whether this pain was really caused by the drug, or whether it was his disease already ‘speaking louder’. Even using a vocabulary belonging to the free world, he gradually accepted our welcome. Alone due to negligence, he wandered through the streets with no purpose or constraints.

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La Causa de Los Adolescentes : Francoise Dolto :

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. Multidisciplinary analysis of lla patient with a chronic disease: He said that the pain was unbearable. Children attend school cauaa little, and when they do so, they are forced to work in some way in order to contribute to family incomes.

In order to assist him, he was sent by the Guardians’ Council to a halfway house run by the Municipal Social Welfare Bureau. Initially, his general status was poor, sleepy and spending the entire day lying down, with constant fever. Juvenile Idiopathic Arthritis may progress through peaks or present as a single outbreak in lox course of the patient’s lifetime.

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. Social Worker, Piedade Municipal Hospital. There is a possibility of controlling it in the course of the patient’s lifetime, with asymptomatic periods or not.

The chronic patient requires special medical, psychological or educational folto 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. Despite possible correction or compensation, causs impacts on the social contexts of patients remain severe.