SN instructed patient / caregiver on intellectual disability which is a condition describing below-average intellectual function and a lack of skills necessary for daily living. SN instructed patient / caregiver on causes such as infections present at birth or occurring after birth, chromosomal abnormalities such as down syndrome, environmental. SN instructed patient / caregiver on symptoms such as lack of or slow development of motor skills. Language skills, and self-help skills, especially when compared to peers, lack of curiosity and difficulty understanding and following social rules.