After major natural disasters, Taiwan and Japan deal with similar issues: large emergency evacuation measures, temporary shelters, and other emergency shelters for victims. Also, both countries must consider the rapidly aging society and the problem of disaster care. This paper reviews the literature to analyze both Taiwan and Japans natural disaster management of emergency shelter care of the elderly. The results show that: (1) the lack of temporary shelter with psychological and physiological care and other medical facilities can lead to deterioration in the health of the elderly (2) temporary shelter produces lack of privacy, which can cause stress, physical suffering, and mental suffering for the elderly, and therefore, affect their mental state and obstacles to living (3) to establish an accessible environment and improve the inadequacies of the existing bathroom space in distant and remote shelters is a priority (4) as well as to ensure that the shelter provides elderly individuals with an accessible and barrier-free living environment, and the elderly can not only rest in a post-disaster emergency shelter, but also live in a temporary refuge to heal their physical and mental life.