Posted on April 23, 2019


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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. 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.

However, a deadlock occurred: 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. 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.

Multidisciplinary analysis of a patient with a chronic disease: He spent 69 days in the teen boys ward. 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.

He seemed to want to protect himself as he did in the street. 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.

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.

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. There is no consensus in the literature on this concept. 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.


Although everything was explained to this adolescent, he did not feel comfortable with the idea. As he had been admitted with no companion, we were unaware of his exact clinical status: 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. Potentially disabling, they have long term effects on psychological, physiological and anatomical functions, with extremely limited chances of responding to curative treatment.

Despite possible correction or compensation, negative impacts on the social contexts of patients remain severe. 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.

When its impacts are severe, changes are required in the habits and routines of the patient and his family. According to Joel Birman: Psychologist, Piedade Municipal Hospital. In order to assist him, he was sent by the Guardians’ Council to a halfway house run by the Municipal Social Welfare Bureau.

There is a possibility of controlling it in the course of the patient’s lifetime, with asymptomatic periods or not. He was facing a new situation in his life. During his hospitalization, the interdisciplinary healthcare caisa was able to gradually learn about the real clinical symptoms of this patient.


Little by little, the entire team arrived, and at no time did C appear hostile. Alone due to negligence, he wandered through the streets with no purpose or constraints.

Chronic illness in childhood: Children attend school very little, and when they do so, they are forced to work in some way in order to contribute to lw incomes.

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 development under decent living conditions.

We stress the extreme importance of a multidisciplinary approach for resolving this case, ratifying the need to czusa more specific institutional support programs that are attuned to the needs of this group of patients.


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

Like most adolescents, he attempted to join peer groups, where he was probably adolescfntes pressure in order to be accepted, seeking an identity and encountering crack.

La Causa de Los Adolescentes

Pediatrics ; 58 1: We describe his routine from hospitalization through to diagnosis and the impact caused by this new status on his life and those of the practitioners in the various specialties monitoring him throughout this entire period. Cadernos sobre o mal: 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.

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. He seemed to perceive that something would change. His blanket and position when lying down recall a cocoon.

Initially, his general status was poor, sleepy and spending the entire day lying down, with constant fever.

If we open a chrysalis, we find only water It was difficult to approach him as he adolescemtes extremely withdrawn, making it hard to identify his physical symptoms accurately. Adolescence, chronic disease, reception, negligence, psychic suffering, interdisciplinarity, juvenile adolescenttes arthritis.

Even the term ‘chronic disease’ is not unanimously accepted as appropriate – some authors feel that the phrase ‘chronic condition’ is more appropriate. Cauea, cases of negligence are noted. In order to define the clinical diagnosis of a chronic disease, it is essential to obtain a detailed clinical history of the patient. 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.