Course Project: Comprehensive Plan of Care
Rasmussen College
Author Note
This paper is being submitted on xxxx, for NUR2115 Fundamentals of Professional
Nursing course.
, Comprehensive Plan of Care 2
Comprehensive Plan of Care
G.C. is a 94-year-old male geriatric client who is struggling with an array of medical
conditions. He was diagnosed with osteoarthritis in his hands and feet, along with type 2
Diabetes Mellitus that he manages with insulin. He also has reduced bodily functions which
resulted in urinary incontinence, impaired dentition, impaired memory, decreased physical
mobility, & impaired transferability (Doenges, Murr, & Moorhouse, 2016). He was put on a soft
food diet to prevent any risk for aspiration. Upon assessment, the nurse concluded that the main
concern for Mr. C is a self-care deficit and ineffective health management evidenced by the
reduced bodily functions mentioned above (Doenges, Murr, & Moorhouse, 2016) Below is an
example of what a comprehensive care plan would look like for G.C.
G.C. is at a stage in his life where he is no longer able to accomplish all activities of daily
living (ADLs) by himself. He will need around the clock care with the majority of his health
management. It is essential for the healthcare staff to collaborate to promote this client's health in
the best way possible. Short-term goals include a vocalized understanding by the client in
recognizing his strengths and weaknesses in ADL activities to allow for room and assistance.
This goal will be measured by how well the client adheres to the healthcare plan on a daily basis
(Doenges, Murr, & Moorhouse, 2016). The long-term goal for Mr. C. is to maintain or improve
his health by executing self-care activities to his utmost capability (Doenges, Murr, &
Moorhouse, 2016). To measure this, a wellness check will be conducted every month to
demonstrate an improvement in ADL activities and to make adjustments if needed for continual
enhancing of the plan.
The starting point for the nurse is to determine the level of adaptive behavior, knowledge,
and skills the client possesses regarding his health maintenance, environment, and safety
(Doenges, Murr, & Moorhouse, 2016). This intervention allows for planning of other specific