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Sanus

On-line version ISSN 2448-6094

Abstract

DIMAS-ALTAMIRANO, Bárbara et al. Case study: Therapeutic education for older adults with type 2 diabetes mellitus and osteoporosis. Sanus [online]. 2024, vol.9, e408.  Epub Mar 09, 2024. ISSN 2448-6094.  https://doi.org/10.36789/revsanus.vi1.408.

Introduction:

The nursing process is the method that allows us to administer care to people with chronic diseases through the disease stages, that is, assessment, diagnostic reasoning, nursing care plan and evaluation.

Objective:

Evaluate a nursing care plan for an older adult with type 2 diabetes mellitus and osteoporosis with a focus on therapeutic health education.

Methodology:

Observational, descriptive, and longitudinal clinical case study of a 63-year-old patient with diabetes mellitus and osteoporosis; the Marjory Gordon instrument was used for assessment, and standardized language was used for diagnostic reasoning, planning, execution and evaluation. Under bioethical principles, this is a minimal risk research, and the privacy and data of the elderly are protected.

Results:

Alteration was found in the pattern of perception/maintenance of health, nutritional/metabolic, exercise activity and coping with stress; with the establishment of activities to control glucose, priority was given to prescribed diet, exercise, adherence to treatment and coping with stress. Acceptance of the disease, learning to take capillary glucose and glycemic control was achieved, as well as adherence to the prescribed diet and exercise.

Conclusions:

Therapeutic health education achieved adherence to pharmacological and non-pharmacological treatment, as well as the acceptance of the health status, which allows acquiring self-control of the disease. Continuous and long-term follow-up is important due to the pathological progress, age and general deterioration of the patient.

Keywords : Nursing process; elderly; diabetes mellitus; osteoporosis; health education (DeCS).

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