This case study analyzes the clinical deterioration of a 75-year-old female patient, Mrs. Faith, in a nursing home setting, who presented with hypoxia and respiratory failure. The report details the patient's background, medical history, and the events leading to her declining condition, including her smoking history and diagnoses of asthma and pancreatic cancer. It examines the patient's presentation, including vital signs, lab results (ABG, blood tests), and behavior, noting her confusion and anxiety due to insufficient oxygen to the brain. The discussion section highlights the causes of her respiratory challenges, interventions such as intubation, oxygen therapy, and medication, and the implementation of holistic care. The outcomes of these interventions are evaluated, showing improvements in the patient's respiratory rate, blood pressure, and self-esteem. The reflection emphasizes the importance of effective communication, teamwork, and a holistic approach to patient care when dealing with hypoxia, concluding with the significance of understanding the patient's history and adapting healthcare strategies accordingly.