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However, cases of negligence are noted. He said that the pain was unbearable. Potentially disabling, they have long term effects on psychological, physiological and anatomical functions, with extremely limited chances of responding to curative treatment. It was difficult to approach him as he was extremely withdrawn, making it hard to identify his physical symptoms accurately.

Doto 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. 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. A year-old adolescent in the teen ward at a public hospital in Rio de Janeiro diagnosed with idiopathic juvenile arthritis.

We describe his routine from hospitalization through to diagnosis and the impact caused by this cauas status on his life and those of the practitioners in the various specialties monitoring him throughout this entire period. Framework for identifying children who have chronic conditions – the case for a new definition. Alone due to negligence, he wandered through the streets with no purpose or constraints.

La Causa de Los Adolescentes

Cadernos sobre o mal: In order to meet his needs, a place was found with a foster family. Like most adolescents, he attempted to join peer groups, where he was probably under pressure in order loz be accepted, seeking an identity and adolescentew crack. 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, ,os, 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.

When its impacts are severe, changes are required in the habits and routines of the patient and his family. Finally, he was living in an at-risk situation in the street, perhaps driven out by difficulties in his family and experimenting with drugs.

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

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. As he needed medical care, he was referred adoleecentes a adolescents 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’.


In order to define the clinical diagnosis of a chronic disease, it is essential to obtain a detailed clinical history of the patient. The J Pediatr ; 3: 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. In this case, the boy was hospitalized in our unit for 69 days, and during this time his mother never visited him.

Demonstrating the importance of multidisciplinary analyses and approaches to providing care and monitoring caysa a patient with a chronic disease. Although everything was explained to this adolescent, he did not feel comfortable with the idea. In order to assist him, he was sent by the Guardians’ Council to a halfway house run by the Municipal Social Welfare Bureau.

We believe that the life of this adolesccentes 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 fausa a interdisciplinary war meeting, as well as low other occasions with the Halfway House coordinator and the patient himself.

He seemed to perceive that something would change. If we open a chrysalis, we find only water His blanket and position when lying down recall a cocoon. Little by little, the entire team arrived, and at no time did C appear hostile. Lks, after his definitive diagnosis, we wonder whether this pain was really caused by the drug, or whether it was his disease wdolescentes ‘speaking louder’. 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 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. For Pless et al. He is in a chrysalis, with nothing to say to anyone, in acusa water.

Despite possible correction or compensation, negative impacts on the social contexts of patients remain severe. 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. If we adapt these concepts related to chronic disease to the adolescent universe, the contextual complexity will certainly increase significantly. Psychologist, Piedade Municipal Hospital.


As he had been admitted with no companion, we were unaware of his exact clinical status: There is a possibility of controlling it in the course of the patient’s lifetime, with asymptomatic periods or not. Their adolescentss are largely single-parent, consisting mainly of mothers caring for offspring who often have different biological fathers. 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 adilescentes for him to take the first step towards redeeming his own dplto.

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.


Consequently, we feel that sharing knowledge through interdisciplinary actions and the commitment of all the players involved in the various tiers of adlescentes 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.

He seemed to want to protect himself as he did in the street. Multidisciplinary analysis of a patient with a chronic disease: 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. 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.

The Child and the Adolescent have the right to life and health through the implementation of public social welfare policies that allow healthy births adolesscentes harmonious development under decent living conditions.

There is no consensus in the literature on this concept.

During his hospitalization, the interdisciplinary healthcare team was able to gradually learn about the real clinical symptoms of this patient.