Which statement characterizes the Impact Phase?

• A. The individual realizes the changes that have occurred and experiences devastation and denial
• B. The patient immediately accepts information
• C. The patient never experiences denial
• D. The patient is unaware of changes

Answer: (A)

The Impact Phase centers on recognizing the changes the stoma brings and the emotional response that follows, typically including devastation and denial. After the reality of the ostomy sinks in, individuals often feel shocked and may cling to denial as a normal initial coping mechanism. Immediate acceptance is not characteristic of this early phase; acceptance tends to emerge later as the person moves into adjustment and adaptation. Being unaware of changes wouldn’t reflect this moment of realization and emotional upheaval. Understanding this helps guide supportive care, validating feelings while providing information to help manage the new reality.