OT role in neurogenic bladder may include

• A. Providing pelvic floor rehabilitation, awareness of autonomic dysreflexia, training caregivers, educating patients to reduce retention risks
• B. Prescribing antibiotics for UTI
• C. Performing urinary catheterization
• D. Scheduling dialysis sessions

Answer: (A)

In neurogenic bladder, the focus is on enabling safe, independent toileting and participation in daily life through function-oriented strategies. An OT helps with pelvic floor rehabilitation to improve sphincter control and bladder emptying, supporting more effective and comfortable voiding during activities. They also educate patients and caregivers about autonomic dysreflexia risk from bladder issues, teaching recognition of warning signs and immediate safety steps to take during activities. Training caregivers is key to ensuring bladder management routines are followed at home, including proper assistance with routines, monitoring, and safety. Education to reduce retention risks includes establishing timed voiding and bladder training, encouraging proper hydration, and preventing constipation, all integrated into daily life so the person maintains independence and reduces complications.

The other options fall outside the OT scope: prescribing antibiotics for UTIs is medical management; performing urinary catheterization is an invasive procedure typically done by nurses or physicians; scheduling dialysis is a nephrology or dialysis coordination task.