Alejandro Ortiz Year Assignment Help: How to Answer This Question

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Original Question

Alejandro Ortiz is a 2-year-old boy brought to the clinic by their parent for their first clinic visit since moving to the area. The parent reports “Alejo rarely speaks. He only makes noises that sound like a few words and only seems to speak when he wants to.” The parent reports concerns to the nurse about their child’s behaviors. He often does not respond when his name is called and he does not like to make eye contact or be touched. The parent reports that the child only likes independent play and will spend hours doing the same activity, like stacking blocks. He does not interact well with siblings and is often physically aggressive toward other children, causing difficulties in day care. The parent states that they had to quit their job to stay home with their child. On assessment, the child was sitting quietly in a chair, rocking back-and-forth, staring at the floor. When called, Alejandro did not respond to his name, and he refused to engage in conversation. The child became upset when the nurse tried to complete an assessment, so a limited physical assessment was completed.The parent states that the child was a full term, vaginal birth with no complications. He is potty-trained, able to dress appropriately, and eat well, but is often constipated and reports that his “belly hurts.” The parent has three other children, ages 10, 8, and 6, who do not have any medical problems. Alejandro gets upset when the nurse attempts to obtain vital signs. SBAR?

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