This case study focuses on Mr. Martin Chen, a 78-year-old widower with a history of hypertension, hypercholesterolemia, obesity, type 2 diabetes, and a recent trans-ischemic attack, who was admitted to the hospital due to extremely high blood pressure. The assignment details his medical history, family background, and social challenges, including erratic behavior and memory loss. The core of the case involves identifying Mr. Chen's complex needs and formulating a multidisciplinary care plan. This plan includes a registered nurse, medicine specialist, psychiatrist, dietician, and physiotherapist to address his physical and psychological health. The strategies discussed encompass medication management, lifestyle modifications, and dietary interventions, with a specific emphasis on a ketogenic diet to manage his conditions and improve his overall quality of life. The study highlights the importance of a holistic approach to chronic disease management, emphasizing the need for continuous monitoring and adjustments to the care plan to avoid future hospitalizations.