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Create a comprehensive patient care plan for a patient with Condition . The plan should include a detailed assessment of the patient's current health status, a list of immediate and long-term treatment goals, and specific interventions and actions to achieve these goals. Consider including medication management, lifestyle modifications, patient education strategies, and any necessary referrals to specialists. Additionally, outline potential challenges or barriers to the care plan and suggest solutions to overcome them. Provide evidence-based rationales for each component of the plan to ensure optimal patient outcomes.