Caregiver Training in the Management of Neurogenic Bladder in Individuals with Spinal Cord Injury: A Case Report

Introduction: Spinal cord injury presents a significant challenge for rehabilitation, with neurogenic bladder being one of its most demanding complications. Proper management is crucial for the quality of life of affected individuals, often requiring caregiver involvement. Rehabilitation Nursing plays a central role in empowering the caregiver, ensuring continuity of care after the hospital period. Objective: To describe the outcomes of caregiver training in managing neurogenic bladder in individuals with spinal cord injury, conducted by a Rehabilitation Nursing Specialist, focusing on promoting autonomy and empowerment of both the person and their family. Methods: Case report based on the CARE guidelines, detailing the intervention of the Rehabilitation Nursing Specialist in training the individual's father. The results were measured using the Barthel Index, the Functional Independence Measure, and knowledge gains. Results: The active involvement of the caregiver in neurogenic bladder management allowed for continuity of care during the post-hospital period, minimizing risks and promoting a smoother adaptation to the home environment. Caregiver empowerment contributed to reduced institutional dependence and a safer transition to the community setting. Conclusion: Caregiver training proved to be essential for managing neurogenic bladder, facilitating rehabilitation and preserving the autonomy of individuals with spinal cord injury. The intervention by the Rehabilitation Nursing Specialist, grounded in Orem's Self-Care Theory and Meleis' Transition Theory, highlights the need for a holistic and participative approach in rehabilitation.