This paper describes the care provided to a young adult patient with end stage nasopharyngeal cancer. Care was provided from May 1 to May 20, 2015. The patient was able to function normally before hospitalization; however, as the cancer metastasized to the brain and bones, the patient was unable to manage the pain. Right-sided hemiparesis caused the patient to rely heavily on his wife which also made him worry about caring for their children. This resulted in symptoms of anxiety. Collection and analysis of physiological, psychological, social, developmental, and spiritual data confirmed that the patient suffered from pain, malnutrition, impaired physical function, and death anxiety. In cooperation with the medical team, a pain management plan was drafted to improve the bone metastasis pain. A dietary plan was also formulated using foods the patient enjoyed to ensure sufficient calorie intake. Rehabilitation and encouragement were used to improve the patient's willingness to engage in physical activity and ability for self-care. Spiritual beliefs were used to help express emotions and reminiscence therapy helped understand the meaning of life in order to relieve death anxiety. As hospice care at this hospital does not include home visits, follow-up was conducted via telephone to understand the family’s and patient's ability for self-car. It was suggested that the patient make use of home hospice care to improve end stage quality of care.