Juvenile idiopathic arthritis Affect every aspect of life for the child and family. Physical limitations may interfere with self-care, school participation,and recreational activities. The intensive treatment plan, including multiple medications, physical therapy, comfort measures, and medical appointments, is intrusive and disruptive to the parent’ work schedule and the family routine. To prevent isolation and foster independence, the family in encouraged to pursue their normal activities. Unfortunately, the adaptations necessary to make that occur take resourcefulness and commitment form all family members. At diagnosis and throughout span of Juvenile idiopathic arthritis, it is essential to recognize signs of stress and counterproductive coping and provide the necessary support to maximize adaptation. The problems and needs of these families are discussed in Chaoter 18, and the reader is directed to that chapter for guidance in planning care.