This paper presents the experience of providing care to an older woman with acute respiratory distress syndrome (ARDS) caused by pneumonia. The patient experienced physical and psychological discomfort from ventilator use as well as powerlessness caused by unpredictable changes in her condition. The patient received care from September 28, 2014 to October 24, 2014. The author collected data by applying techniques such as observations, interviews, and physical assessment. Roy's adaptation model was employed to comprehensively and systematically assess the patient. The patient's health concerns included impaired gas exchange, ineffective airway clearance, and powerlessness. During her care, compassion and companionship were used to establish a beneficial therapeutic care relationship, oxygen therapy and ventilators were used to maintain the oxygen concentration, effective infection control was achieved, and oxygenation was improved. The patient was taught effective coughing and postural drainage techniques, assisted by mechanical chest percussion devices, to clear airway secretions. Finally, the patient was aided in adapting to changes in her condition, increasing her faith, affirming her value of existence, and reducing the powerlessness caused by her illness. We recommend the staff need to strengthen patients and primary caregivers for pneumonia prevention and home care skills.