本文是在探討一位57歲長期臥床的失能獨居個案，因為意識改變由119送入急診求治，在住院期間個案因無法自我照顧，且缺乏家人的協助及支持系統，因而個案呈現被動且感到無望的護理過程。筆者於2008年2月9日至2月28日照護期間，運用觀察、會談、身體評估及歐倫自我照顧缺失理論進行護理評估，確立個案呈現營養不均衡：少於身體需要、身體活動功能障礙、自我照顧能力缺失：進食/穿著/如廁、無望感等四項健康問題。藉由歐倫理論的護理系統：完全代償、部份代償、支持教育性護理等概念提供個案相關護理措施，包含提供個案營養照護計劃及食物來源、執行肢體擺位及復健運動計劃、衛教並協助個人衛生及進食、提供轉介資源及支持系統，增進個案日常照顧的能力及肯定自我價值。此照護經驗能讓獨居失能個案重返社區且能自我照護，對於肯定護理價值及護理人員的付出具有正向的鼓舞及激勵效果。

This article discusses a 57 years old disable patient who lived alone and was bedridden for a long time. Due to a change of consciousness, he was sent to emergency department by ambulance for treatment. While he was hospitalized, the patient was unable to self-care and lacked family support and aid resources. As a result, he became passive and hopeless. During the nursing period from 9~28 February 2009, the author applied observation, interview, physical assessment, and Orem's self-care deficit theory for assessment, which established imbalanced nutrition: less than the body requirements, impaired physical mobility and feeding, dressing, toileting self-care deficit, hopelessness as the nursing problems. By applying Orem's theory: wholly compensatory, partly compensatory, supportive-educative nursing system, relevant nursing interventions were adopted. They included offering an individual nutritional program and food source, limb positioning and rehabilitation program, health education and assistance to personal hygiene and feeding, transferal resources and support systems, to enhance the patient's daily care ability and affirm his self-value. Hopefully this nursing experience can serve as a reference for nursing personnel in offering nursing to such cases.