This article is about an old coal-miner, who's having intermittent respiratory distress for several years. He is also a heavy cigarette smoker, and complicated with chronic obstructive pulmonary disease (COPD). His disease status deteriorated, and symptoms became more severe and prominent. He needed total care. Hospitalization became more frequent and duration of stay became longer. The quality of life of this patient continued to deteriorate. Although the patient had clearly expressed the refusal of endotracheal intubation, no official documentation was made. Meanwhile, the family's opinion opposed that with the patient, which made it difficult for the medical staff to deal with. He developed respiratory failure despite the use of NIPPV, and conducted trial of time-limited intubation and mechanical ventilator use, which is compatible with care of the terminal COPD patient who wishes to have extubation if no improvement noted. The patient's condition deteriorated, and on the 13th day of ventilator use, he was extubated and palliative treatment was done. After discussion with the family members, he was brought home for peaceful death. This combination of hospice care and time-limited respiratory trial therapy has helped resolving the conflict between the patient's will, the family's expectations and the concepts of the medical team. The flexibility and time given in this method, is an easy access in aiding to achieve satisfactory result agreeable for the 3 parties, at the same time able to perform proper medical care. Therefore, we share this experience for use of this method in care of terminal COPD patients.