本文描述一位男同志罹患直腸癌及肝癌末期合併骨轉移之照護經驗。筆者自2011年3月25日至2011年4月28日藉由觀察、會談及直接照護個案的過程，進行生、心、社會、靈性四層面評估，並經分析歸納後確立之護理問題為：慢性疼痛、死亡焦慮、心靈困擾。筆者藉由積極協助疼痛控制；引導個案性傾向自我揭露及說出內心對死亡之感受，並藉由宗教之介入、生命回顧等相關照護措施，緩解個案的死亡焦慮及促使其坦然面對死亡及規劃後事；隨著疾病的進展，適時以「臨在」之理念介入，了解其心靈上之需求，促使家屬及個案於生命最終時刻能畫上無憾之句點。

This article was describe a nursing experience of a Gay man suffering from terminal stage colon and liver cancer with bone metastasis. The author collected subjective and objective information using observation, interviews, and nursing care during the time period March 25 to April 28, 2011. The problems of this patient for nursing assessed from a holistic nursing respective included chronic pain, death anxiety, and spiritual distress. In response, the author has utilized the nursing measures of pain control, to guide patient self-disclosure of sexual orientation and to say the heart of the death feelings, as well as religious resources and life review, to alleviate his anxiety of death, and preparation of patient to face inevitable death and eventual parting. As the disease progresses, the timely intervention by the being with to understand his needs of the spiritual, and prompting he and his families without regrets in the end of life.