This article describes a nursing experience for a 79-year-old patient with cerebral vascular accident in the emergency department. The author applied Roy's Adaptation Model for patient assessment. Data were collected through patient observation, physical examination, and patient interview via phone. The three identified major health problems were ineffective airway clearance, potential risk for impaired skin integrity, and impaired mobility. Besides working with other disciplines for the patient's medical problems, the author established a therapeutic relationship with the patient and family members. This facilitated patient education on the subject of home care. Discussion and a demonstration of skills were included during the teaching. This article can be used as a reference for nurses who care for stroke patients in the emergency setting.