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Framework for identifying children who have chronic conditions – the case for a new definition. 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 safety nets to interact with greater fluidity. Little by little, the entire team arrived, and at no time did C appear hostile. In order to meet his needs, a place was found with a foster family.

For Pless et al.

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

In terms of schooling, 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. He dropped out of school, which is a place of the utmost importance for healthy development, as this is a place that simulates life on a smaller scale, with rules and limits. He said that the pain was unbearable. 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.

Children attend school very little, and when they do so, they are forced to work in some way in order to contribute to family incomes. He seemed to perceive that something would change. 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. 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.



In order to assist him, he was sent by the Guardians’ Council to a halfway house run by the Municipal Social Welfare Bureau. In order to define the clinical diagnosis of a chronic disease, it is essential to obtain a detailed clinical history of the patient.

However, cases of negligence are noted. 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’.

We describe his routine from hospitalization through to diagnosis and the impact caused by this new status on his lox and adolesccentes of the practitioners in the various specialties monitoring him throughout this entire period. There is a possibility of controlling it in the course of the patient’s lifetime, with asymptomatic periods or not. 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.

Despite possible correction or compensation, negative impacts on the social contexts of patients remain severe. Multidisciplinary analysis of a patient with a chronic disease: Like most adolescents, he attempted to join peer groups, where he was probably under pressure in order adolescenets be accepted, seeking an identity and encountering crack.


La Causa de Los Adolescentes : Francoise Dolto :

Potentially disabling, they have long term effects on psychological, physiological and anatomical functions, with extremely limited chances of responding to curative treatment. 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. 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.

Adolescence, chronic disease, reception, negligence, psychic suffering, interdisciplinarity, juvenile idiopathic arthritis. If we open a chrysalis, we find only water During his hospitalization, the interdisciplinary healthcare team was able to gradually learn about the real clinical symptoms of this patient.

La Causa de Los Adolescentes

Cadernos sobre o mal: His blanket and position when lying down recall a cocoon. For children and adolescents the family is normally the best and most valuable causx of information, obviously assuming that such children and adolescents are endowed with a minimally efficacious family structure where affection and protection are constant practice in the daily lives of these patients.

Even the term ‘chronic disease’ is not unanimously accepted as appropriate – some authors feel that the phrase ‘chronic condition’ is more appropriate. The clinical diagnosis had been defined. Social Worker, Piedade Municipal Hospital.