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Plan of Care
Athena Guzman
Delaware Technical Community College
Health Assessment NUR 320
Mrs. Lind
December 3, 2023
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My patient C. W. is a 40-year-old male who has a known past medical history of type 2
diabetes. I will be coming up with a care plan for C.W. to make sure we can keep him on the
right track with his diabetes and prevent him from getting any kidney disease due to him having
diabetes.
Diabetes is a condition that can become very serious and lead to many complications if
not managed correctly. Mr. C.W. verbalized to me that he has known about his diabetes diagnosis
and admits to not properly caring for it. With an a1c of 9%, Mr. C.W. is aware that he has got to
make some lifestyle changes to get his diabetes under control before he causes any more damage
to his body especially his kidneys and heart.
The goals we set up for C.W. are as follows, he will lose 10 pounds in 3 months. He will
lose 1 pound a week by cutting his portions by 50%. C. W. will also lower his a1c by 1% in 3
months. He will do this by replacing any vegetables that contain starch with vegetables that do
not have starch in them. To accomplish these goals, the patient will start with an exercise plan
that will start off slow with walking 20 minutes after lunch each day. “Increasing your activity
level can help get your a1c level down for good” (Wood, 2023). C. W. will also begin measuring
out each portion for each meal he has. Consuming the correct types of food at the right amount
will help him lose weight and lower his a1c.
C.W. will need to weigh himself each day in the morning at the same time and record the
data. We will meet every two weeks to discuss the progress. The patient will also need to keep a
track record of the meals he consumed with the correct portion amount listed. This will also be
checked every two weeks to see that we are making positive progress. I also have listed for Mr.
C.W. a community referral for his diabetes. The place is called The Delaware Diabetes Self-
Management program and it is located at Bayhealth Kent General. The address for this location
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is 640 S. State Street in Dover, DE 219904. You can call to make an appointment at 302-744-
6307.
C.W. having type 2 diabetes puts him at risk for developing kidney disease. Diabetic
nephropathy is what the kidney disease is called for those who have diabetes. This is a serious
complication that can develop in patients who have type 1 or type 2 diabetes. “In the United
States, about 1 in 3 people living with diabetes have diabetic nephropathy” (Mayo Clinic).
The goals that we set up for C.W. are for the patient to maintain his blood pressure within
normal range for 3 months. This is because an uncontrolled hypertensive patient can put an
unnecessary strain on the kidneys who will then have to over work themselves to help the body.
The patient will also maintain blood glucose levels within normal range for 3 months. The
patient will check his blood pressure every morning at the same time each day and record the
findings. This will help show if the blood pressure is maintaining in the normal range. The
patient will also check his blood glucose levels each day before meals and at bedtime and record
the findings. This will show how his diabetes is going and how to adjust accordingly.
C.W. will meet to show recordings every 2 weeks and adjustments will be made as
needed. The patient will meet weekly to show record of how blood glucose levels are going, and
adjustments will be made accordingly. I have also given a referral to C.W. in reference to the
kidney disease. This is the Chronic Renal Disease Program, and it is located at the Milford State
Service Center. The address is 13 Front Street, Milford, DE 19963. You can reach them at 302-
424-7180 and set up an appointment with them or call for any questions.
Mr. C.W. was made aware of how serious these issues could be if he does not comply the
care plan devise specifically for him. He was also advised to call with any questions or concerns
that he may have.
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References
Wood. K. 15 March 2023. How to Lower Your A1C Level. HealthLine.
https://www.healthline.com/health/diabetes/ways-to-lower-your-a1c-level
Mayo Clinic. (2023). Diabetic Nephropathy (kidney disease).
https://www.mayoclinic.org/diseases-conditions/diabetic-nephropathy/symptoms-causes/
syc-20354556
