1. Altered Bowel Elimination Related to: The presence of a tumor and gastrointestinal symptoms such as obstruction or changes in bowel habits. As evidenced by: Changes in stool consistency, frequency of bowel movements, or reports of constipation or diarrhea. 2. Acute Pain 3. Related to: Tumor growth and gastrointestinal disturbances. As evidenced by: Patient reports of pain, facial grimacing, guarding behavior, or changes in vital signs indicative of pain. Imbalanced Nutrition: Less Than Body Requirements Related to: Decreased appetite due to cancer metabolism and treatment side effects (e.g., nausea). As evidenced by: Weight loss, decreased food intake, or laboratory values indicating malnutrition. 4. Anxiety Related to: Cancer diagnosis and uncertainties regarding treatment outcomes. 5. As evidenced by: Patient verbalizations of worry, restlessness, difficulty concentrating, or physiological signs such as increased heart rate. Risk for Infection Related to: Immunosuppression from chemotherapy and surgical interventions. 6. As evidenced by: No current signs of infection but potential risk factors present (e.g., neutropenia). Death Anxiety Related to: Anticipation of pain and the impact of the cancer diagnosis on life expectancy. As evidenced by: Expressions of fear regarding death, withdrawal from social interactions, or changes in mood. 7. Fatigue Related to: The disease process itself and treatment regimens (chemotherapy/radiation). As evidenced by: Patient reports of tiredness that interferes with daily activities or assessments indicating decreased energy levels.