The child’s age dictates the type and extent of psychologic preparation. Because s colostomy is usually performed, the child who is of preschool age is told about the procedure in concrete terms with the use of visual aids. (see chapter 27.) It is important to time explanations appropriately to prevent the anxiety and confusion that could result from too much information. It is also important to stress to parent and older children that the colostomy for HD is temporary, unless so much bowel is involved that a permanent ileostomy must be performed. In most instances the extent of bowel resection is known before surgery, although the nurse should be aware of cases when doubt exists concerning repair. Remember that although a temporary colostomy is favorable in terms of future health and adjustment, it requires additional surgery, which may be stressful to parents and children.