INTRODUCTION: Falling in the elderly represents a public health problem, since it manifests
itself in high prevalence, presents multicausality and is one of the geriatric syndromes. It is
important to emphasize the importance of nursing to develop safe practices directed to the
factors that influence the health behaviors of the elderly. OBJECTIVES: To apply the Pender
Health Promotion Model in the Nursing process to the elderly with risk factors for falls;
Evaluate health behavior safety promoters against falls; Explore selfefficacious practices of
safe behaviors in the face of the event falls. METHODOLOGY: The study was characterized
by a descriptive research with a qualitative approach, such as Research Convergent Care. This
study was carried out with 7 elderly residents of the Guamá Belém / PA district who are users
of public services. The data were obtained through the application of the nursing process, having
for analysis, the sources: (a) Nursing History; (b) The application of the Photovoice technique;
(c) International Classification for Nursing Practice CIPE; d) Planning, debates and synthesis
of each of the four focal group meetings. RESULTS: Health behaviors according to MPS are
summarized in three categories and their subcategories: 1 Characteristics, Individual
experience: Risk behavior for falls, Consequence of falls and Learning with falls; 2 Specific
Behavior: Influential selfperception for falls, Interpersonal influences that affect the behavior
of others, Wishes for changes that will contribute to the prevention of falls; 3 Behavioral Result:
Selfefficacious fall prevention and positive action / suggestion assessment. The self efficacious practices exercised during the application of the nursing process resulted in initial
changes in behavior regarding life habits such as: paying more attention to where to walk,
wandering slowly and looking at the floor, do not be ashamed to ask for help. CONCLUSION:
The demonstration of the health behavior of the elderly has influence coming from the
experiences of fall. Although being users of public services, no influences from educational
programs were perceived. Regarding the observed behavioral changes of selfefficacious
practices, some positive life habits were observed, however, socioeconomic and family barriers
make it difficult to prevent falls in the elderly, especially in the context studied.
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