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Involving Mrs. Lopez:
When involving Mrs. Lopez i would involve her in the communication process by bringing her into the conversation and informing her of what the process is going to be like and giving her the opportunity to be the one to explain to Alex, because it would most likely bring Alex comfort by having someone he trusts to be the one explaining certain things to him. Some information i would share with Mrs.Lopez would be the basics of what is planned and informing her of the importance of why checks-up matter. I would explain to her about the tools being used and reassuring her that all these things are here to make sure Alex can continue to be healthy.