This case report is on an 18-year-old female who sustained a deep perineal injury following a car accident. Temporary diverting colostomy was done due to suspected anal sphincter tear. During her period of hospitalization (from April 23 - June 16, 2014), various methods, such as direct nursing care and conversing in order to gather information and evaluate her condition, were used. Four aspects of holistic nursing assessment - psychological, physiologic, social, and spiritual factors, were used to analyze the nursing problem. The problem included severity of wound infection, acute pain, and body image disturbance. In order to reduce pain, infection, and gain self-confidence to return to a normal life, the nursing care plan included using the appropriate dressing method, vacuum-assisted closure, and encouragement of self-expression. The patient successfully transitioned from trauma induced conflict period to the recovery period through encouragement in facing the psychological conflict and physical change related to trauma. She was thus able to re-establish confidence, carry out social functions, and adapt to new life style.