The results revealed that : the home-bound and bed-bound older adults were visited by health care providers and volunteers. The volunteers were more skillful in caring for older adults by the training. The elders and their caregivers expressed more satisfied with the continuous home care and services. Clinical practice guideline was developed for the health care team. The home-bound and bed-bound elders were empowered and gained more abilities to perform better self-care in their daily lives than before