We nursed a patient in terminal stage of bladder cancer using KOMI chart system. He realized his Illness was in terminal stage. His desires were (1) not make his handicapped wife be anxious, (2) want to look after him by himself, (3) not want his families and other persons be worried, We helped him to fulfill his wishes thinking these desires were the source of vital power, As a result, In KOMI reader chart and KOMI chart, he could maintain the role item in recognition throughout his life in spite of the reduction of life's width and behavior. We think we could help him to fulfill his desires.