This report presents a nursing care plan for a 70-year-old patient, Mr. Stephen Jones, who suffers from diabetes, impaired skin integrity, and nutritional imbalance following an open cholecystectomy. The report begins with an introduction to the patient's condition, highlighting the impact of diabetes on wound healing, including factors like impaired growth factor production, angiogenesis, immune response, and nutritional deficiencies. It discusses the physiology of wound healing, detailing the stages of hemostasis, inflammation, proliferation, and remodeling, along with the aetiology of impaired wound healing. The report then focuses on wound bed preparation, measurement, and the importance of periwound skin assessment. It covers wound exudates, treatment aims, and a comprehensive wound management plan, including wound assessment, cleansing, debridement, moisture balance management, infection control, and nutritional support. The report concludes with a nursing care plan designed to ensure proper wound assessment, management, and treatment for the patient.