This article describes a patient with End-Stage Chronic Obstructive Pulmonary Disease (COPD), with the desire to prolong his time with his family and spend time before God, undergo the nursing experience to realize his return home, but is forced to use a non-invasive positive pressure breathing device (NIPPV). The author collected data through direct observations, interviews, medical records, and applied Gordon's 11 Functional Health Patterns to comprehensively assess the patient. The health problems of the patient were identified as follows: low effective breathing pattern, anxiety, nutritional imbalance less than body requirements, and caregiver role strain. Due to the difficulty in judging the end stage of COPD and the uncertainty of medical treatment, we attempted to build a relationship of mutual trust and empathy to foster stronger nurse-patient relationships, then gave assistance to both patient and family through family conference to promote shared decision-making for the patient with nurses and physicians, the hospice team, the respiratory therapy team, and the discharge preparation service interdisciplinary team, allowing the patient to achieve discharge and return home.