Intensive care units are the place where intensive treatment and care practices are carried out and where patients with life-threatening acute or chronic diseases are followed. Intensive care patients are followed by tracheostomy depending on prolonged intubation due to respiratory and cardiac insufficiency. These patients, who are usually seen as immobilized, can have complex, difficult to manage status. A systematic approach is needed to ensure that the nurses who care of the patients need a systematic approach to evaluate, plan appropriate interventions holistically. One of these approaches, the Omaha Classification System, is a system of records, which is designed plainly so that it can be understood by all health professionals, is used in primary, secondary and tertiary level health service providers. The Omaha System is known to be used in all stages in which health care service provided in our country. Since this system has not yet been used in intensive care units, the data of a long-stay immobile patient with tracheostomy, who stays in a tertiary level internal medicine intensive care unit of a university hospital, were collected according to Omaha System and a care plan was formed. Eleven different problems were identified from two areas, 10 of which are actuel and four of which are potential modifiers. 92.8% of the problems belong to the physiological field and 7.2% belong to the field of health behavior. It is believed that the results of this study provide a framework for the implementation of the Omaha System in acute care settings. The sharing of results is important in terms of leading to other studies.