I Human Case Analysis:My daughter doesn’t interact
with other children and prefers to play alone Early
Identification and Management of Autism Spectrum
Disorder in a 22-Month-Old Female – Week #7
Comprehensive i-Human Case Analysis
,“My Daughter Doesn’t Interact With Other Children and
Prefers to Play Alone”
Early Identification and Management of Autism Spectrum
Disorder in a 22-Month-Old Female
Course: NURS 6512 – Advanced Health Assessment
Week: #7
Institution: Walden University
Setting: Outpatient Pediatric Clinic With Laboratory
Capabilities
Patient Identification
• Initials: A.M.
• Age: 22 months
• Sex: Female
• Accompanied by: Mother
• Source of History: Mother (reliable historian)
Chief Complaint (CC)
“My daughter doesn’t interact with other children and prefers to
play alone.”
History of Present Illness (HPI)
,A.M. is a 22-month-old female presenting for evaluation of
delayed social interaction and communication. According to
her mother, the child has demonstrated limited interest in social
engagement, avoids interacting with peers, and prefers solitary
play. These behaviors have been progressively evident for
approximately 6–8 months.
The mother reports the child avoids eye contact, does not
consistently respond to her name, and rarely uses gestures such
as pointing, waving, or showing objects to share interest. The
child does not participate in pretend play and has no meaningful
spoken words, communicating primarily through babbling.
Repetitive behaviors are present, including hand flapping when
excited and lining up toys.
There has been no developmental regression, seizures, head
trauma, fever, or acute illness. Prenatal history, delivery, and
postnatal course were unremarkable. Immunizations are current.
Past Medical History
• No chronic medical conditions
• No prior hospitalizations
• No surgical history
Prenatal and Birth History
• Full-term pregnancy
• Uncomplicated vaginal delivery
, • Normal APGAR scores
• No prenatal infections or substance exposure
Medications
• None
Allergies
• No known drug allergies (NKDA)
Family History
• No known autism spectrum disorder
• No intellectual disability
• No genetic syndromes
Social History
• Lives with both parents
• Mother is primary caregiver
• Not enrolled in daycare
• No exposure to tobacco smoke
Developmental History
with other children and prefers to play alone Early
Identification and Management of Autism Spectrum
Disorder in a 22-Month-Old Female – Week #7
Comprehensive i-Human Case Analysis
,“My Daughter Doesn’t Interact With Other Children and
Prefers to Play Alone”
Early Identification and Management of Autism Spectrum
Disorder in a 22-Month-Old Female
Course: NURS 6512 – Advanced Health Assessment
Week: #7
Institution: Walden University
Setting: Outpatient Pediatric Clinic With Laboratory
Capabilities
Patient Identification
• Initials: A.M.
• Age: 22 months
• Sex: Female
• Accompanied by: Mother
• Source of History: Mother (reliable historian)
Chief Complaint (CC)
“My daughter doesn’t interact with other children and prefers to
play alone.”
History of Present Illness (HPI)
,A.M. is a 22-month-old female presenting for evaluation of
delayed social interaction and communication. According to
her mother, the child has demonstrated limited interest in social
engagement, avoids interacting with peers, and prefers solitary
play. These behaviors have been progressively evident for
approximately 6–8 months.
The mother reports the child avoids eye contact, does not
consistently respond to her name, and rarely uses gestures such
as pointing, waving, or showing objects to share interest. The
child does not participate in pretend play and has no meaningful
spoken words, communicating primarily through babbling.
Repetitive behaviors are present, including hand flapping when
excited and lining up toys.
There has been no developmental regression, seizures, head
trauma, fever, or acute illness. Prenatal history, delivery, and
postnatal course were unremarkable. Immunizations are current.
Past Medical History
• No chronic medical conditions
• No prior hospitalizations
• No surgical history
Prenatal and Birth History
• Full-term pregnancy
• Uncomplicated vaginal delivery
, • Normal APGAR scores
• No prenatal infections or substance exposure
Medications
• None
Allergies
• No known drug allergies (NKDA)
Family History
• No known autism spectrum disorder
• No intellectual disability
• No genetic syndromes
Social History
• Lives with both parents
• Mother is primary caregiver
• Not enrolled in daycare
• No exposure to tobacco smoke
Developmental History
