|This article described an elderly nursing-home resident in bedridden status after stroke was admitted due to pneumonia. Nursing care was provided during 14th to 30th of March, 2013. Information was collected through physical examination, observation, and interview with his family. The patient’s problems were ineffective airway clearance, ineffective breathing pattern, altered protection, and anxiety. With the concept of bundle care, we applied evidence-based chest physiotherapy, in order to improving sputum clearance and symptoms, thus shortening the length of hospital stay.