Introduction: People indigenous In Mexico generally have their own uses and customs that make them different, they have particular ways of understanding the world and interacting with it. When there are specific health problems in this population, it is important that the nursing professional who treats them knows and understands the importance of performing care interventions based on their culture and language, in order to improve their quality of care. Objective: To analyze significant experience from the indigenous language with narrative nursing through patterns Carper knowledge and philosophical visions of Newman and Fawcett. Development: The nursing narrative focused on a Nahuatl speaking person treated in a public hospital by a nursing student, during a surgical intervention. A greater emphasis on the ethical and limited empirical pattern was identified. With respect to the nursing vision, it was located in a vision of Reciprocity (Newman) / Interactive Integrative (Fawcett) since the student acted based on values, beliefs, interests and experiences of the person to guide and to take care of it from the Nahuatl. Conclusion: It is concluded that the nursing narrative and the proposal of analysis works as a tool of reflection to improve the care given to the person in hospital environments and highlights the need for nursing to understand the culture and traditions of vulnerable groups through the indigenous language in their healt interventions.