Health promotion and disease prevention in older adults are essential to improve their quality of life and reduce health care costs in this growing population. A diagnostic study in this area focuses on identifying specific health needs, assessing risk factors, and proposing effective interventions. The objective of this study is to characterize the current state of health promotion and NCD prevention in older adults at the Clemencia Foundation and the Sofia Ratinoff Asylum in the city of Guayaquil. This research is developed by students and teachers of the Emergency Medical career of the Instituto Superior Universitario Espiritu Santo, as part of the project "Promotion and control of NCDs in older adults". The study uses a combination of quantitative and qualitative methods, including surveys, interviews and statistical data analysis. The population studied includes older adults and health professionals from the Clemencia Foundation and the Sofia Ratinoff Asylum, providing a comprehensive view of their health conditions and needs. The results conclude that chronic diseases such as hypertension, diabetes and arthritis are common in older adults, as are respiratory and mental health problems. Risk factors identified include poor dietary habits, lack of physical activity, poor vital sign monitoring, and limited participation of older adults in health promotion programs.