This paper is to describe the nursing process in which a temporary colostomy was given to a ten years old boy to repair his intestine. The boy fell from a tree and injured his intestine. The author used Roy adaptation model as the assessment guide to collect data by observation, conversation, physical assessment, and checking medical history to identify wound pain, infection, and body image disturbance as the case health problems. The author designed nursing plans and executed interventions for wound pain, infection, and body image disturbance during hospitalization from March 21 to April 6, 2009. Additionally, the author assisted the case and helped the family face the colostomy problem. The author also helped the child transfer from a period of conflict into reconstruction and readapted the original lifestyle to accomplish the development stage in social function behavior pertaining to his age.