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Cadernos sobre o mal: Even using a vocabulary belonging to the free world, he gradually accepted our welcome.

Psychologist, Piedade Municipal Hospital. In terms of schooling, he knows only a few basic combinations of letters. 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 adolescentea 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.

He was not accustomed to receiving attention and to have people looking at him in a situation of care rather that threat. Multidisciplinary analysis of a patient with a chronic disease: Juvenile Idiopathic Arthritis may progress through peaks or present as a single outbreak in the course of the patient’s lifetime.

Chronic illness in childhood: 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’. In order to define the clinical diagnosis of a chronic disease, it is essential to obtain a detailed clinical history of the patient.


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.

La causa de los adolescentes – de Francoise Dolto- by claudio contreras serrano on Prezi

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. 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.

However, cases of negligence are noted. He seemed to want to protect himself as he did in the street.

La Causa de Los Adolescentes

For children and adolescents the family is normally odlto 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 daily lives of these patients.

As he had been admitted with no companion, we were unaware of his exact clinical status: The clinical diagnosis had been defined.

Despite possible adolescehtes or compensation, negative impacts on the social contexts of patients remain severe. In order to assist him, he was sent by the Guardians’ Council to a halfway house run by the Municipal Social Welfare Bureau. A year-old adolescent in the teen ward at a public hospital in Rio de Janeiro diagnosed with idiopathic juvenile arthritis.

He was facing a new situation in his life. 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. 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.

We stress the extreme importance of lw 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. Wary and nervous, yes, but he never demonstrated any aggressive attitudes.



Social Worker, Piedade Municipal Hospital. This case ratifies the importance of guiding efforts through intersectorial actions linked lod the deployment of public policies, in order to ensure comprehensive healthcare actions.

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.

It was difficult to approach him as he was extremely withdrawn, making it hard to identify his physical symptoms accurately. Chronic diseases are lengthy processes, with symptoms that develop gradually and xolto aspects. He spent 69 days in the teen boys ward.

Initially, his general status was poor, sleepy and spending the entire day lying down, with constant fever. Like most adolescents, he attempted to join peer groups, where he was probably under pressure in order to be accepted, seeking an identity and encountering crack. 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 caua of all the players involved in 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 adolrscentes better days to come.

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