iHuman Case Study: Autism Spectrum Disorder (ASD) Early Identification | Walden NRNP 6541

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WEEK #7 I- v v


HUMAN CASE ANALYSIS FOR WALDEN UNIVERSITY –
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FOR A 22 MONTHS DAUGHTER WITH DIFFICULTY IN MAKING F
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RIENDS/ SOCIAL SECURITY CONCERNS (EARLY IDENTIFICATIO
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N AND MANAGEMENT OF AUTISM SPECTRUM DISORDER) LOC
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ATION: OUTPATIENT CLINIC CAPABILITIES LATEST 2026
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Walden Universityv



Course: NURS / NRNP (i-Human)
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Encounter Type: Outpatient Pediatric Clinic
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Case Title v




Early Identification and Management of Autism Spectrum Disorder
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Chief Concern: “My daughter doesn’t interact with other children and prefers to pla
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y alone.”
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1. General Case Information v v




 Patient: Female child v v



 Age: 3 years
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 Caregiver: Mother v



 Setting: Outpatient pediatric clinic
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 Reason for Encounter: Developmental and behavioral concerns related to s
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ocial interaction and play
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 Source of History: Mother (reliable historian)
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2. Chief Complaint (CC) v v




“My daughter doesn’t interact with other children and prefers to play alone.”
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3. History of Present Illness (HPI) v v v v




The patient is a 3-year-
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old female brought to the outpatient clinic by her mother due to concerns about del
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ayed social interaction and atypical play behaviors. The mother reports that sinc
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e approximately 18–
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20 months of age, the child has shown minimal interest in interacting with peers an
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d consistently prefers solitary play.
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The child does not initiate play with other children at daycare and often plays repetiti
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vely with toys, particularly lining them up or spinning wheels. She has limited preten
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d play and becomes upset when routines are disrupted. The mother notes poor eye co
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ntact, limited response to her name, and infrequent use of gestures such as pointing o
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r waving.
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Speech development is delayed; the child uses single words inconsistently and does
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not form two-
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word phrases. She does not engage in reciprocal conversation and rarely imitates oth
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ers. There is no history of regression of previously acquired skills.
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The mother denies seizures, loss of motor milestones, fever, trauma, or chronic illnes
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s. No concerns regarding hearing or vision have been formally evaluated.
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