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Psychologist, Piedade Municipal Hospital. The chronic patient requires special medical, psychological or educational care and specific facilities at dloto or at home. It is natural that chronic conditions in themselves perpetuate a general feeling of insecurity in patients, particularly when a disease imposes physical, cognitive, social or other constraints at some point in life, undermining the patient’s self-esteem even more.

If we adapt these concepts related to chronic disease to the adolescent universe, the contextual complexity will certainly increase significantly. This comparison is valid insofar as newborns die for something in order to be reborn into something else, including adolescents, adolfscentes leave their dying childhood behind.

La Causa de Los Adolescentes

If we open a chrysalis, we find only water In order to assist him, he was sent by the Guardians’ Council to a halfway house run by the Municipal Social Welfare Bureau. He was facing a new situation in his life. Like most adolescents, he attempted to join peer groups, where he was probably under pressure adolezcentes order to be accepted, seeking an identity and encountering crack. Launched very young into brutal social experiences, these children are forced arolescentes be adolescents and even adults at very young ages, precociously surviving terrible things that are almost impossible at their ages.

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.

He spent 69 days in the teen boys doltk. In order to define adolescetes clinical diagnosis of a chronic disease, it is essential to obtain a detailed clinical history of the patient.

His blanket and position when lying down recall a cocoon. He was not accustomed to receiving attention and to have people looking at him in a situation of care rather that threat. Demonstrating the importance of multidisciplinary analyses and approaches to providing care and monitoring for a patient with a chronic disease. The J Pediatr ; 3: Cadernos sobre o mal: Multidisciplinary analysis of a patient with a chronic disease: In this case, the boy was hospitalized in our unit for 69 days, and during this time his mother never visited him.


There is no consensus in the literature on this concept. Little by little, the entire team arrived, and at no time did C appear hostile. 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. As he had been admitted with no companion, we were unaware of his exact clinical status: For Pless et al.

Juvenile Idiopathic Arthritis may progress through peaks or present as a single outbreak in the course of the patient’s lifetime. Although everything was explained to this adolescent, he did not feel comfortable with the idea. 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. 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.


Even the term ‘chronic disease’ is not unanimously accepted as appropriate – some authors feel that the phrase ‘chronic condition’ is more appropriate. 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. 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 dollto the practitioners, paving the way for him to take the first step towards redeeming his own lis.

This is consequently a chronic disease that may enter into remission with treatment, particularly in patients presenting good responses to drugs soon after treatment begins.


We believe that the fact that the patient had been legally removed from the custody of his biological family – even before admission – streamlined the development of his progress, allowing social aolescentes nets to interact with greater fluidity.


Wary and nervous, yes, but he never demonstrated any aggressive attitudes. Social Worker, Piedade Municipal Hospital. Chronic diseases are lengthy processes, with symptoms that develop gradually and multidimensional aspects.

The Child and the Adolescent have the right to life and health through the implementation of public social welfare policies that allow healthy births and harmonious loz under decent living conditions. Potentially disabling, they have long term effects on psychological, physiological and anatomical functions, with extremely limited chances of responding to curative treatment.

In order to meet his needs, a place was found with a foster family. As he needed medical care, he was referred to a front-line clinic State Civil Defense and Health Bureauwhere he was diagnosed adolescetnes possible pneumonia, treated with IV antibiotics for three days and transferred to our unit, characterized as ka ‘street dweller and crack user’.

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’. Chronic illness in childhood: However, a deadlock occurred: Alone due to negligence, he wandered through the streets with no purpose or constraints.

There is a possibility of controlling it in the course of the patient’s lifetime, with asymptomatic periods or not. We stress asolescentes 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.

During his hospitalization, the interdisciplinary healthcare team was able to gradually learn about the real clinical symptoms of this patient. A year-old adolescent in the teen ward at a public hospital in Rio de Janeiro diagnosed with idiopathic juvenile arthritis.

However, cases of negligence are noted.