At a secondary hospital in Nan province. On 1 April 2016 , Mr. Joe admits in Medicine Department .He’s older Thai male , age 86 years and thin . He has paralyzed to 3 years , immobility and aphasia. Wife and daughter’s Mr. Joe always give to take care him. This time, he admits in the hospital for 2 weeks. Doctors diagnosed as pneumonia .The first week wife’s him to take care of the activities of daily living closely. Nurse rarely to access the patient . she only into the inhaler and injection according to the treatment and the time. Every time the nurse give to the treatment , which a nurse to see Mr.Joe lying same posture which mainly will lie supine and notice the faces usually show like pain. When questioned from his wife , she said usually Mr. Joe would like to stay in this posture.Despite changes to the port side, but no more than ten minutes, he will return to the same position. So a nurse thought is a personality of Mr. Joe. Next week his wife and daughter to go on business administration. They can’t to take care Mr. Joe, so they deposited with a nurses to take care him. In the morning ,a nurse had take care and to rub the body. She was found bed sore at the coccyx area. The wound is characterized by broad size 2x2 cm , red wound and level 2. After that the nurse dressing them. And in that day a nurse working all 4 people with patients admitted to 13 people. The next day ,his wife came back from the business. A nurse asked his wife that before hospital Mr. Zhou has a bedsore or not. His wife said that before the hospital admission with only a redness to skin at the coccyx and not lost in 30 minutes after flipping on its back which she don't know the bedsore, so she don't do anything. Then a nurse has explained to wife’s Mr.Joe know Mr.Joe have bedsores and advice how to take care of right. While in the hospital, a nurse take care to dressing the wound twice a day. Three days later, pneumonia symptoms better. So doctors have allowed to back home on 16 April 2016 .