Week #7 I-Human Case Analysis for Walden University
For A 22 Months Daughter with Difficulty In Making Friends/ Social Security Concerns
(Early Identification And Management Of Autism Spectrum Disorder)
Location: Outpatient Clinic Capabilities Latest 2026
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Walden University
Course: NURS / NRNP (i-Human)
Encounter Type: Outpatient Pediatric Clinic
,2|P age
Case Title
Early Identification and Management of Autism Spectrum Disorder
Chief Concern: “My daughter doesn’t interact with other children and
prefers to play alone.”
1. General Case Information
Patient: Female child
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Age: 3 years er
Caregiver: Mother
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Setting: Outpatient pediatric clinic
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Reason for Encounter: Developmental and behavioral concerns
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related to social interaction and play
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Source of History: Mother (reliable historian)
2. Chief Complaint (CC)
“My daughter doesn’t interact with other children and prefers to play alone.”
, 3|P age
3. History of Present Illness (HPI)
The patient is a 3-year-old female brought to the outpatient clinic by her
mother due to concerns about delayed social interaction and atypical
play behaviors. The mother reports that since approximately 18–20
months of age, the child has shown minimal interest in interacting with
peers and consistently prefers solitary play.
The child does not initiate play with other children at daycare and often
plays repetitively with toys, particularly lining them up or spinning wheels.
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She has limited pretend play and becomes upset when routines are
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disrupted. The mother notes poor eye contact, limited response to her
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name, and infrequent use of gestures such as pointing or waving.
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Speech development is delayed; the child uses single words
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inconsistently and does not form two-word phrases. She does not
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engage in reciprocal conversation and rarely imitates others. There is no
history of regression of previously acquired skills.
The mother denies seizures, loss of motor milestones, fever, trauma, or
chronic illness. No concerns regarding hearing or vision have been formally
evaluated.