Effect of Abdominal Massage and Bed Exercise on Palliative Care Patients

Palliative care is a special type of medical care that focuses on providing support and improving the quality of life for individuals facing life-threatening illnesses. Nursing care for patients receiving enteral nutrition includes interventions that facilitate nutrition, increase patient comfort, and reduce complications. This study will be conducted as a randomized controlled experimental study to evaluate the effects of abdominal massage and in-bed exercise on gastrointestinal complications and patient comfort in palliative care patients.

Inclusion Criteria: * Being over 18 years of age, * Patients receiving inpatient treatment and care in the palliative care unit, * Patients who started enteral feeding at least 24 hours ago * Patients without wounds in the extremity and abdominal region * Patients without intestinal obstruction * Patients who have not received abdominal radiotherapy and have not undergone abdominal surgery in the last six weeks * Patients with a Glasgow Coma Score (GCS) \>3 * Patients who have no restrictions on abdominal massage * Patients whose consent has been obtained from their relatives will be included. Exclusion Criteria: * Patients whose enteral feeding was stopped during the study * Patients who showed signs of infection due to Ventilator-associated Pneumonia or other infections during or before the study will not be included.