RNicoleM

I have to construct my first careplan and I am so lost!!! Please help me!! Here is my scenerio: A 76 year old white male with a stage 2 decubitus ulcer on his left heel has just been admitted to your floor. He is alert and oriented x3 but does have periods of forgetfulness. Past medical history revels that he has been diagnosed with hypertension, diabetes. He has smoked 1 1/2 pack of cigarettes for 60 years and has at least 3 beers a day for the past 10 years. The patient has a history of falls within the last 6 months related to diabetic neuropathy in his lower extremities, but refuses assistance with mobility. My care plan needs to be on the falls. I am thinking the Maslow level would be Safety & Security and the nursing diagnosis would be At risk for falls r/t history of falls and diabetic nueropathy in lower extremities, I am thinking the desired outcome is to remain fall free but I don't know what time frame to put. I am having a hard time with the nursing interventions/rationale part because of the fact the patient refuses assistance with mobility and I am thinking I am suppose to link it back to managing the neuropathy somehow. I could also be way overthinking this!! I am completely lost when it comes to care plans, I have the Nursing Diagnosis Handbook but I can't understand that thing yet!!