The client is a 64-year-old man who suffered a spinal cord injury at the level of C-5 during a boating accident. He is currently in a rehabilitation setting with assisted ventilation and quadriplegia. He has a reflex neurogenic bladder that fills and empties automatically. The nursing staff is teaching the client’s 55-year-old wife techniques to facilitate bladder emptying and intermittent catheterization. The client is also on a bowel retraining program that includes stool softeners to prevent fetal impaction. At times, the client’s wife seems overwhelmed with her husband’s problems, but she is supportive and asks numerous questions.
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