When a client with a C5 spinal cord injury reports discomfort during a feeding practice session, what is the best first action for the occupational therapist to take?

When a client with a C5 spinal cord injury reports discomfort during a feeding practice session, the best first action for the occupational therapist is to empty the client's filled catheter bag and maintain an upright position.

Clients with a spinal cord injury may experience discomfort due to a variety of reasons, including bladder fullness. Since the C5 injury affects motor control and sensation, the client may not be able to identify the source of discomfort accurately. By addressing the bladder fullness, the therapist can alleviate one potential cause of discomfort. Additionally, maintaining an upright position can help with drainage and overall comfort during activities, thus allowing the feeding practice to continue more effectively.

Other responses, such as administering pain medication or encouraging the client to drink water, may not address the immediate source of discomfort or may even exacerbate the situation. Terminating the session altogether would prevent the client from practicing feeding skills, which are important for their rehabilitation and independence. Therefore, managing physical factors such as bladder fullness and positioning offers the most effective immediate solution.