Introduction. The main cause of the lung cancer evolution is smoking cigarettes. Nicotine smoke is composed of almost a few thousand chemical substances, out of which a few hundred are carcinogenic. People who have never smoked but have been exposed to nicotine also can suffer from the lung cancer. Malignant tumours especially non-small cell lung cancer are developing very slowly, characteristic symptoms appear mostly when metastatic lesions are present. Prognoses are very bad, therefore it is necessary to limit exposure to nicotine and other harmful factors. Aim. The aim of the study was to assess of the health situation, identify care problems and plan the nursing care of the patient with non-small cell lung cancer. Case description. In this case study a 46-year old patient who suffered from non-small cell lung cancer at the advanced stage with metastatic in both lungs, liver, adrenals, bones, cerebellum and other diseases: paranoid schizophrenia and systemic lupus erythematosus was presented. Moreover, the patient functioning in biological, psychical and social spheres as a whole was included in the study. Conclusions. Nursing care of the patient with non-small cell lung cancer with the unsuccessful prognosis should be holistic and take into account the biological, social, mental and spiritual spheres.

Key words: non-small cell cancer lungs, nursing care.