本篇個案報告是描述一位鼻咽癌末期面臨死亡之護理經驗，主要探討面臨死亡引發的護理問題。筆者照護期間，透過身體評估、會談、觀察家庭互動等方式，以個案的生理、心理、家庭社會、靈性等方面進行整體性評估，確立主要健康問題有慢性疼痛、死亡焦慮及營養方面等護理問題，針對問題訂定個別性、整體性持續性之護理計畫，並依循計劃解決個案護理問題。
照顧過程中，提供個案舒適護理技巧，運用藥物及非傳統止痛藥物方式，減輕疼痛不適；協助調整飲食，改善營養及腹瀉問題；藉由關懷、傾聽、同理及安寧醫療團隊和宗教師等團隊介入，協助個案勇敢面對死亡；期許此篇個案報告能夠提供護理人員於照護癌末病患的往生過程中，運用靈性的力量來克服所面臨的死亡焦慮，讓個案能夠做好死亡準備，使個案及家屬們能坦然面對死亡的過程。

This report is describing a nursing experience of caring a patient with the late nasopharyngeal carcinoma and discussing the nursing problems of patient who facing death. During the nursing period the author needs to make sure the patient have the healthy problems that including chronic pain, anxiety of facing death and nutritious problem by physical evaluation, communication and observing the family interaction through the side of physiology, psychology, family, society and spirit. According all those problems the author makes the continuous nursing plans to dissolve this case of nursing problems step by step.
During the care process we provide comfortable nursing skills, using medication and alternative therapy to relieve patients’ pain. It improves the problems of nutrition and diarrhea by adjusting the eating preference and helping patients facing death bravely by consideration, listening and intervention of hospice care team and religious team. Hoping this report can provide the ways of helping patients to use the spiritual power to overcome the anxiety of facing death and lets patients and their family have preparation of facing death calmly.