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Abstract

Introduction: Type 2 diabetes is a chronic degenerative metabolic disease and a public health problem. Its vascular complications generate a reduction of blood flow in the lower extremities, together with the neuropathic affectation that leads to diabetic foot being the main risk factor for non-traumatic amputations.

Objective: To apply a nursing process to a patient diagnosed with diabetic foot whose purpose is to identify the real and potential needs of the patient-family, establishing nursing activities that cover and resolve the complications involved in all aspects.

Methodology: The assessment by apparatus-systems and the Marjory Gordon Model were used; data were taken from the clinical record. Present needs were identified and nursing diagnoses were constructed; subsequently, evidence-based interventions and the establishment of expected results were established through the NANDA, NOC and NIC taxonomies.

Results: Diagnoses of diabetic foot were identified, both diabetes and hypertension in uncontrolled, chronic kidney disease, obesity, advanced age, lack of adherence to pharmacological treatment, dietary and muscle weakness; the following diagnostic labels were found: unstable glycemia level, excess fluid volume, impaired skin integrity, peripheral neurovascular dysfunction, obesity and ineffective self-management of health.

Conclusions: The approach to the diabetic foot is complex and multidisciplinary, however its activities should be aimed at reducing the economic impact, improving quality of life, maintaining functionality as productivity and increasing patient survival.