This article discusses a case of an elderly patient with femoral neck fracture and total hip joint replacement surgery. During the period from 18th December to 28th December, 2015, by applying Gordon's 11 functional Health Assessment, it was determined that the health problems related to acute pain, physical activity dysfunction, self-care deficit and anxiety. During the nursing period, we provided pain relief treatment to reduce the patient's pain caused by the wound or movement. In the meantime, we communicated with the medical team to establish an individual rehabilitation plan to improve physical activity functioning and to enhance self-care ability. By listening to the patient, we guided the patient to express his inner thoughts and we took advantage of the concept of discharge planning to invite a physical therapist to educate the patient about the safety of home environment and home care skills for decreasing his anxiety for returning home. We hope through this article to share our nursing experience as a reference for the care of an elderly patient with total hip joint replacement.