What is the primary nursing concern for a patient with a new colostomy?

The primary nursing concern for a patient with a new colostomy is body image disturbance. Following the surgical creation of a colostomy, patients often experience significant changes in their physical appearance and bodily function. This alteration can lead to feelings of self-consciousness, anxiety, or depression about their new body image and how they perceive themselves in social situations.

Nurses play a crucial role in providing emotional support and education to help patients adjust to their colostomy. This support may include teaching patients about colostomy care, the use of ostomy appliances, and ways to manage everyday activities, which can empower them and enhance their confidence in coping with their new situation.

While other concerns such as risk for infection, nutritional deficiency, and fluid overload are valid considerations in the care of a colostomy patient, they are often more secondary to the profound impact that the change in body image has on a patient's psychological well-being. Addressing body image issues is essential in ensuring comprehensive holistic care.