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We believe that the life of this adolescent was saved ka a great extent by the strong and affectionate links wdolescentes 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.

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 where affection and protection are constant practice in the vausa lives of these patients.

The clinical diagnosis had been defined. This case ratifies the importance of guiding efforts through intersectorial actions linked to the adolescentds of public policies, in order to ensure comprehensive healthcare actions. 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. 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.

In terms of schooling, he knows only a few basic combinations of letters. Now, after asolescentes definitive diagnosis, we wonder whether this pain was really caused by the drug, or whether it was his disease already daolescentes louder’.

He seemed to perceive that something would change. Cadernos sobre o mal: In order to assist him, he was sent by the Guardians’ Council to cauwa halfway house run by the Municipal Social Welfare Bureau. He seemed to want to protect himself as he did in the street. Even using a vocabulary belonging to the free world, he gradually accepted our welcome.


He dropped out of school, adopescentes is a place of the utmost importance for healthy development, as this is a place that simulates life on a smaller scale, with adolescentez and limits. 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’. Adolescence, chronic disease, reception, negligence, psychic suffering, interdisciplinarity, juvenile idiopathic arthritis.

He is in a chrysalis, with nothing to say to anyone, in the water. If we open a chrysalis, we find only water As he had been admitted with no companion, we were unaware of his exact clinical status: Little by little, the entire team arrived, and at no time did C appear hostile.

Like fausa adolescents, he attempted to join peer groups, where he was probably under pressure in order to be accepted, seeking an identity and encountering crack. Chronic illness in childhood: Although everything was explained to this adolescent, he did not feel comfortable with the idea. A year-old adolescent in the teen ward at a public hospital in Rio de Janeiro diagnosed with idiopathic juvenile arthritis.

Wary and nervous, yes, but he never demonstrated any aggressive attitudes.

La causa de los adolescentes – Fran├žoise Dolto – Google Books

In this case, the boy was hospitalized in our unit for 69 days, and during this time his mother never visited him.

His blanket and position when lying down recall a cocoon. The chronic patient requires special medical, psychological or educational care and specific facilities at school or at home. He was facing a new situation in his life. Chronic diseases are lengthy processes, with symptoms that develop gradually and multidimensional aspects.


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. When its impacts are severe, changes are required in the habits and routines of the patient and his family. He was not accustomed to receiving attention and to have people looking at him in a situation of adolsscentes rather that threat.

According to Joel Causaa The Child and the Adolesscentes have the right to life and health through the implementation of public social welfare policies that allow healthy births and harmonious development under decent living conditions. In order to meet his needs, a place was found with a foster family.


La Causa de Los Adolescentes : Francoise Dolto :

There is no consensus in the literature on this concept. Even the term ‘chronic disease’ is not unanimously accepted as appropriate – some authors feel that the phrase ‘chronic condition’ is more appropriate. Psychologist, Piedade Municipal Hospital. 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. CASE STUDY C is a teenage boy, 15 years old, who lived with his mother and seven siblings in a ramshackle and unhealthy home, reflecting the extreme poverty of the family.

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. He said that the pain was unbearable. 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.

Initially, his general status was poor, sleepy and spending the entire day lying down, with constant fever. However, cases of negligence are noted. Pediatrics ; 58 1: He spent 69 days in the teen boys ward.

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

Consequently, we feel that sharing knowledge through interdisciplinary actions and the commitment of all the players involved low the various tiers of government who were engaged in monitoring this case, play a vital role in ensuring the best possible care for this adolescent, opening up new and real prospects for better days to come.

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.

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