Nursing assessment in an elderly adult with Diabetes Mellitus

Authors

  • Adriana Callejas Trejo Carrera de Licenciatura en Enfermería del Instituto Universitario de las Naciones Hispana, Pachuca de Soto, Hidalgo, México Author https://orcid.org/0009-0002-4874-9064
  • Yuridia Itsel Tellez Villanueba Carrera de Licenciatura en Enfermería del Instituto Universitario de las Naciones Hispana, Pachuca de Soto, Hidalgo, México Author https://orcid.org/0009-0009-8686-6633
  • Angelica Ángeles Uribe Carrera de Licenciatura en Enfermería del Instituto Universitario de las Naciones Hispana, Pachuca de Soto, Hidalgo, México Author https://orcid.org/0009-0002-3181-3525
  • Esmeralda García Jiménez Carrera de Licenciatura en Enfermería del Instituto Universitario de las Naciones Hispana, Pachuca de Soto, Hidalgo, México Author https://orcid.org/0009-0004-1553-4838
  • Citlali Hernández Martínez Carrera de Licenciatura en Enfermería del Instituto Universitario de las Naciones Hispana, Pachuca de Soto, Hidalgo, México Author https://orcid.org/0009-0005-9482-6595
  • Itzel Guadalupe Gaspar Manríquez Carrera de Licenciatura en Enfermería del Instituto Universitario de las Naciones Hispana, Pachuca de Soto, Hidalgo, México Author https://orcid.org/0009-0004-3828-3939
  • Michel Oria Saavedra Carrera de Licenciatura en Enfermería del Instituto Universitario de las Naciones Hispana, Pachuca de Soto, Hidalgo, México Author https://orcid.org/0000-0002-6089-8217

DOI:

https://doi.org/10.62486/sic2026260

Keywords:

Nursing assessment, Older adults, Diabetes mellitus, Nursing process, Nursing care, Self-care, Nursing models

Abstract

Introduction: Diabetes mellitus in older adults represents a challenge for nursing due to comorbidities, functional decline, and social vulnerability. Nursing care focused on basic human needs allows for the identification of risks, the promotion of self-care, and the improvement of quality of life.
Objective: To apply the Nursing Care Process in an older adult with diabetes mellitus, using NANDA, NOC, and NIC taxonomies, in order to establish individualized, safe, and evidence-based care.
Methods: A descriptive study based on the Nursing Care Process using Virginia Henderson’s assessment model. Altered needs were identified through interviews, observation, and physical examination. Nursing diagnoses were established according to NANDA, expected outcomes according to NOC, and interventions based on NIC.
Results: Priority diagnoses included ineffective management of the therapeutic regimen and risk for unstable blood glucose level. Interventions included health education, glucose monitoring, and self-care promotion. Improvement was observed in treatment adherence, glycemic control, and family participation.
Conclusions: Comprehensive nursing assessment in older adults with diabetes mellitus enables holistic, person-centered care that promotes autonomy, reduces complications, and optimizes quality of life.

References

1. OMS. Informe mundial sobre el envejecimiento y la salud. Ginebra: Organización Mundial de la Salud; 2023.

2. Carpenito LJ. Manual de diagnósticos de enfermería. 16.ª ed. Filadelfia: Wolters Kluwer; 2021.

3. Fernández M, Rodríguez L. Cuidado integral de enfermería en el adulto mayor con enfermedades crónicas. Rev Iberoam Enferm Comunitaria. 2022;15(2):54–63.

4. Marriner-Tomey A, Raile Alligood M. Modelos y teorías en enfermería. 9.ª ed. Madrid: Elsevier; 2020.

5. Jiménez R, Pérez A, Morales F. Factores que influyen en la adherencia terapéutica en adultos mayores con diabetes mellitus tipo 2. Enferm Global. 2021;20(2):178–190.

6. Torres G, López D, Hernández C. Rol de la familia en el manejo del adulto mayor con enfermedades crónicas. Rev Cub Enferm. 2023;39(1):112–124.

7. OPS. Estrategia de atención primaria de salud renovada. Washington D.C.: Organización Panamericana de la Salud; 2022.

8. Bulechek GM, Butcher HK, Dochterman JM, Wagner CM. Clasificación de Intervenciones de Enfermería (NIC). 8.ª ed. Madrid: Elsevier; 2022.

9. Siverio-Díaz Alba Rocío, Bellahmar-Lkadiri Samia. Plan de cuidados de enfermería desarrollado con la teoría de rango medio de autocuidado de las enfermedades crónicas. Ene. [Internet]. 2023 [citado 2025 Nov 20] ; 17( 2 ): 2429. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1988-348X2023000200008&lng=es. Epub 22-Ene-2024.

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Published

2026-01-01

How to Cite

1.
Callejas Trejo A, Tellez Villanueba YI, Ángeles Uribe A, García Jiménez E, Hernández Martínez C, Gaspar Manríquez IG, et al. Nursing assessment in an elderly adult with Diabetes Mellitus. Salud Integral y Comunitaria [Internet]. 2026 Jan. 1 [cited 2025 Dec. 8];4:260. Available from: https://sic.ageditor.org/index.php/sic/article/view/260