Final answer:
The initial step for bladder training in a paraplegic often includes using periodic catheterization to manage the bladder effectively, as the ability to voluntarily control the urethral sphincter might be compromised due to injury.
Step-by-step explanation:
The first step for bladder training in a paraplegic patient may involve an understanding of normal and altered urinary function due to spinal cord injury. Bladder training can include timed voiding and the use of intermittent catheterization to manage the bladder effectively. Periodic catheterization may be necessary in cases where the patient is unable to voluntarily relax the urethral sphincter.
The goal is to minimize the risk of urinary infections, reduce incontinence, and ensure that the bladder does not become too full, which can damage the bladder and kidneys. As part of rehabilitation, it is also important to discuss the potential use of brain-computer interface (BCI) technology which may offer future avenues for improving quality of life for those with paralysis.