The aim of this study was to describe the nursing experience of caring an elderly with a stage IV pressure ulcer at the end of life. Comprehensive wound assessment revealed that heavy exudates, malodor, and infection from the nonhealing pressure ulcer had caused the patient to suffer from physical and emotional turmoil. Caregivers were confused by complex and varying wound care information they received because of stress attributable to lack confidence in providing appropriate wound care. We applied the concept of palliative wound care and abided by evidence- based pressure ulcer guidelines in accordance with patient and caregivers needs to facilitate wound symptom control, thereby reduced physical suffering of patient and prevented pressure ulcer recurrence. As previously mentioned concept and guidelines, we provided active contact, accompaniment, listening and communication, and encouragement to motivate caregivers to share their feelings. We imparted wound-care-related knowledge and skills to the caregivers and were thus able to involve them in making well-informed wound care decisions. Our teaching had reduced their stress and helped them perform wound care at home.