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Juvenile Idiopathic Arthritis may progress through peaks or present as a single outbreak in the course of the patient’s lifetime. If we adapt these concepts related to chronic disease to the adolescent universe, the contextual complexity will certainly increase significantly. Chronic diseases are lengthy processes, with symptoms that develop gradually and multidimensional aspects.

Social Worker, Piedade Municipal Hospital.

Adolescence, chronic disease, reception, negligence, psychic suffering, interdisciplinarity, juvenile idiopathic arthritis. In order to meet his needs, a place was found with a foster family.

He seemed to want to protect himself as he did in the street. It was difficult to approach him as he was extremely withdrawn, making it hard to identify his physical symptoms accurately.

La Causa de Los Adolescentes

However, cases of negligence are noted. For Pless et al. According to Joel Birman: Initially, his general status was poor, sleepy and spending the entire day lying down, with constant fever. There is no consensus in the literature on this concept. 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.


Even using a vocabulary belonging to the free world, he gradually accepted our welcome. Framework for identifying children who have chronic conditions – the case for a new definition.

There is a possibility adolescfntes controlling it cauza the course of the patient’s lifetime, with asymptomatic cxusa or not. In order to define the clinical diagnosis of a chronic disease, it is essential to obtain a detailed clinical history of the patient.

La causa de los adolescentes – Françoise Dolto – Google Books

During his hospitalization, the interdisciplinary healthcare team was able to gradually learn about the real clinical symptoms of this patient. He spent 69 days in the teen boys ward. When its impacts are severe, changes are required in the habits and routines of the patient and his family. 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.

Although everything was explained to this adolescent, he did not feel comfortable with the idea. Cadernos sobre o mal: The chronic patient requires special medical, psychological or educational care and specific facilities at school or at home.

caus Psychologist, Piedade Municipal Hospital. A year-old adolescent in the teen ward at a public hospital in Rio de Janeiro diagnosed with idiopathic juvenile arthritis. 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.


Pediatrics ; 58 1: We also stress the specific characteristics of our patient who, due to a lengthy hospitalization period in our unit, built causx relationships of mutual trust with all the practitioners, paving the way for him to take the first step towards redeeming his own identity.


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’.

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.

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

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 cauusa dweller and crack user’.

Little by little, the entire team arrived, and lx no time did C appear hostile. 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.