This nursing case study is about a 64-year-old male patient with rectal cancer complicated with Fournier's Gangrene. The study illustrates this patient's physical and psychological responses to the physical challenges after debridement and colostomy. The nursing care period was from March 23 to April 27, 2012. During this period, the patient's information was collected by the author through observations, conversation, and nonverbal communication. Gordon 11 Function Health Patterns was adopted to evaluate patient's general condition. The author had discovered that the patient had multiple health problems, including impaired tissue integrity, poor nutrition status, acute pain, body image disturbance, and social isolation. The care plan focused on patients' primary physical problems: acute pain, poor nutrition status, and body image disturbance. During this nursing period, the author listened to the patient's needs and feelings actively, with respect and understanding. The author encouraged the patient to participate in colostomy and wound care. Doctors, dietitians, social workers, and ST room technicians were also counseled to help educate the patient's family members to prepared themselves in individualized care, which consists of reducing physical pain, providing adequate nutrition support, helping reconstruction of positive body image, and educating about preparation for patient's surgical wound and colostomy care. With the financial assistance from the social support system, the patient was expected to be able to return to his normal life.