Patients with severe traumatic brain injury are bedridden for a long time, the patient’s sputum is not easily coughed out and is prone to pneumonic pneumonia, they must be turned regularly to change their position, patting the back and postural drainage of sputum helps to excrete sputum, the method is for the patient to take a lateral or prone position, remove the pillow so that the head is slightly lower than the back, the nursing staff quickly pat the patient’s back with the palm of their hands, patting continuously for a few minutes in the direction from the bottom of the lung to the trachea and the mouth to facilitate the coughing out of sputum. If possible, nebulized inhalation can be used to dilute the sputum. Also drinking more water and eating more fruits can make the sputum not too sticky. Skin care is an important element for long-term bedridden patients with traumatic brain injury. Decubitus ulcers are localized skin ischemia, necrosis, and ulceration caused by long-term pressure on the skin, mostly occurring at locations with prominent bony markings on the body surface, such as the sacrococcygeal region, iliac region, heel, and outer ankle. Once decubitus ulcers occur, they are very troublesome to deal with and often persist, seriously affecting the functional training and care of patients. Good skin care is the key to preventing bedsores by strengthening skin care, turning regularly, keeping the skin clean and dry, not dragging the patient in bed, and giving protection to vulnerable parts of the skin with sponges or other fine soft objects.