Daily Rounds: Updated consciousness levels choices to MEWS (#6435)

* fix(daily_round): aligned consciousness scale to mews * fix(daily_round): removed optional description * fix NeurologicalTables * fix line break --------- Co-authored-by: rithviknishad <[email protected]>
ohcnetwork · Oct 23, 2023 · f9c1fb2 · f9c1fb2
1 parent 1682f58
commit f9c1fb2
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Showing 4 changed files with 51 additions and 46 deletions.
diff --git a/...iticalCareRecording/NeurologicalMonitoring/CriticalCare__NeurologicalMonitoringEditor.res b/...iticalCareRecording/NeurologicalMonitoring/CriticalCare__NeurologicalMonitoringEditor.res
@@ -68,12 +68,12 @@ let reducer = (state, action) => {
   | SetConsciousnessLevel(consciousnessLevel) => {
       ...state,
       dirty: true,
-      consciousnessLevel: consciousnessLevel,
+      consciousnessLevel,
     }
   | SetConsciousnessLevelDetails(consciousnessLevelDetails) => {
       ...state,
       dirty: true,
-      consciousnessLevelDetails: consciousnessLevelDetails,
+      consciousnessLevelDetails,
     }
   | SetLeftPupilSize(leftPupilSize) => {
       ...state,
@@ -83,17 +83,17 @@ let reducer = (state, action) => {
   | SetLeftPupilSizeDetails(leftPupilSizeDetails) => {
       ...state,
       dirty: true,
-      leftPupilSizeDetails: leftPupilSizeDetails,
+      leftPupilSizeDetails,
     }
   | SetLeftPupilLightReaction(leftPupilLightReaction) => {
       ...state,
       dirty: true,
-      leftPupilLightReaction: leftPupilLightReaction,
+      leftPupilLightReaction,
     }
   | SetLeftPupilLightReactionDetails(leftPupilLightReactionDetails) => {
       ...state,
       dirty: true,
-      leftPupilLightReactionDetails: leftPupilLightReactionDetails,
+      leftPupilLightReactionDetails,
     }
   | SetRightPupilSize(rightPupilSize) => {
       ...state,
@@ -103,17 +103,17 @@ let reducer = (state, action) => {
   | SetRightPupilSizeDetails(rightPupilSizeDetails) => {
       ...state,
       dirty: true,
-      rightPupilSizeDetails: rightPupilSizeDetails,
+      rightPupilSizeDetails,
     }
   | SetRightPupilLightReaction(rightPupilLightReaction) => {
       ...state,
       dirty: true,
-      rightPupilLightReaction: rightPupilLightReaction,
+      rightPupilLightReaction,
     }
   | SetRightPupilLightReactionDetails(rightPupilLightReactionDetails) => {
       ...state,
       dirty: true,
-      rightPupilLightReactionDetails: rightPupilLightReactionDetails,
+      rightPupilLightReactionDetails,
     }
   | SetGlasgowEyeOpen(glasgowEyeOpen) => {...state, glasgowEyeOpen: Some(glasgowEyeOpen)}
   | SetGlasgowVerbalResponse(glasgowVerbalResponse) => {
@@ -129,22 +129,22 @@ let reducer = (state, action) => {
   | SetLimbResponseUpperExtremityRight(limbResponseUpperExtremityRight) => {
       ...state,
       dirty: true,
-      limbResponseUpperExtremityRight: limbResponseUpperExtremityRight,
+      limbResponseUpperExtremityRight,
     }
   | SetLimbResponseUpperExtremityLeft(limbResponseUpperExtremityLeft) => {
       ...state,
       dirty: true,
-      limbResponseUpperExtremityLeft: limbResponseUpperExtremityLeft,
+      limbResponseUpperExtremityLeft,
     }
   | SetLimbResponseLowerExtremityRight(limbResponseLowerExtremityRight) => {
       ...state,
       dirty: true,
-      limbResponseLowerExtremityRight: limbResponseLowerExtremityRight,
+      limbResponseLowerExtremityRight,
     }
   | SetLimbResponseLowerExtremityLeft(limbResponseLowerExtremityLeft) => {
       ...state,
       dirty: true,
-      limbResponseLowerExtremityLeft: limbResponseLowerExtremityLeft,
+      limbResponseLowerExtremityLeft,
     }
 
   | SetSaving => {...state, saving: true}
@@ -265,7 +265,7 @@ let renderConsciousnessLevel = (
 ) => {
   <div className="my-10">
     <div className=" text-2xl font-bold my-2"> {str("Level Of Consciousness")} </div>
-    <div className="flex md:flex-row flex-col md:space-y-0 space-y-2 space-x-0 md:space-x-4">
+    <div className="grid lg:grid-cols-2 grid-cols-1 lg:space-y-0 space-y-2 space-x-0">
       {Js.Array.map(consciousnessLevel => {
         <Radio
           key={label ++ NeurologicalMonitoring.consciousnessLevelToString(consciousnessLevel)}
@@ -274,17 +274,15 @@ let renderConsciousnessLevel = (
           checked={consciousnessLevel === input}
           onChange={_ => onInputChange(consciousnessLevel)}
         />
-      }, [Alert, Drowsy, Stuporous, Comatose, CannotBeAssessed])->React.array}
+      }, [
+        Unresponsive,
+        Alert,
+        RespondsToPain,
+        RespondsToVoice,
+        AgitatedOrConfused,
+        OnsetOfAgitationAndConfusion,
+      ])->React.array}
     </div>
-    {ReactUtils.nullUnless(
-      <CriticalCare__Description
-        name={`${name}_reaction_description`}
-        label={`${label} Reaction Description`}
-        text={inputDetails}
-        onChange={event => onInputDetailsChange(event)}
-      />,
-      input === NeurologicalMonitoring.CannotBeAssessed,
-    )}
   </div>
 }
 

diff --git a/...nents/CriticalCareRecording/NeurologicalMonitoring/DailyRound__NeurologicalMonitoring.res b/...nents/CriticalCareRecording/NeurologicalMonitoring/DailyRound__NeurologicalMonitoring.res
@@ -16,10 +16,6 @@ let make = (
         NeurologicalMonitoring.consciousnessLevel(neurologicalMonitoring),
       ),
     )}
-    {renderOptionalDescription(
-      "Consciousness Level Reaction Description",
-      NeurologicalMonitoring.consciousnessLevelDetails(neurologicalMonitoring),
-    )}
     <div className="flex md:flex-row flex-col mt-2">
       <div className="px-4 py-2 border bg-gray-100 m-1 rounded-lg shadow md:w-1/2 w-full">
         {title("Left Pupil")}

diff --git a/src/Components/CriticalCareRecording/types/CriticalCare__NeurologicalMonitoring.res b/src/Components/CriticalCareRecording/types/CriticalCare__NeurologicalMonitoring.res
@@ -1,4 +1,11 @@
-type consciousnessLevel = Alert | Drowsy | Stuporous | Comatose | CannotBeAssessed | Unknown
+type consciousnessLevel =
+  | Unresponsive
+  | RespondsToPain
+  | RespondsToVoice
+  | Alert
+  | AgitatedOrConfused
+  | OnsetOfAgitationAndConfusion
+  | Unknown
 type lightReaction = Brisk | Sluggish | Fixed | CannotBeAssessed | Unknown
 type limpResponse = Strong | Moderate | Weak | Flexion | Extension | NONE_ | Unknown
 
@@ -68,11 +75,12 @@ let make = (
 
 let makeConsciousnessLevel = consciousnessLevel => {
   switch consciousnessLevel {
+  | "UNRESPONSIVE" => Unresponsive
+  | "RESPONDS_TO_PAIN" => RespondsToPain
+  | "RESPONDS_TO_VOICE" => RespondsToVoice
   | "ALERT" => Alert
-  | "DROWSY" => Drowsy
-  | "STUPOROUS" => Stuporous
-  | "COMATOSE" => Comatose
-  | "CANNOT_BE_ASSESSED" => CannotBeAssessed
+  | "AGITATED_OR_CONFUSED" => AgitatedOrConfused
+  | "ONSET_OF_AGITATION_AND_CONFUSION" => OnsetOfAgitationAndConfusion
   | "UNKNOWN"
   | _ =>
     Unknown
@@ -81,11 +89,12 @@ let makeConsciousnessLevel = consciousnessLevel => {
 
 let encodeConConsciousnessLevel = consciousnessLevel => {
   switch consciousnessLevel {
+  | Unresponsive => "UNRESPONSIVE"
+  | RespondsToPain => "RESPONDS_TO_PAIN"
+  | RespondsToVoice => "RESPONDS_TO_VOICE"
   | Alert => "ALERT"
-  | Drowsy => "DROWSY"
-  | Stuporous => "STUPOROUS"
-  | Comatose => "COMATOSE"
-  | CannotBeAssessed => "CANNOT_BE_ASSESSED"
+  | AgitatedOrConfused => "AGITATED_OR_CONFUSED"
+  | OnsetOfAgitationAndConfusion => "ONSET_OF_AGITATION_AND_CONFUSION"
   | Unknown => "UNKNOWN"
   }
 }
@@ -150,11 +159,12 @@ let lightReactionToString = lightReaction => {
 
 let consciousnessLevelToString = consciousnessLevel => {
   switch consciousnessLevel {
+  | Unresponsive => "Unresponsive"
+  | RespondsToPain => "Responds to Pain"
+  | RespondsToVoice => "Responds to Voice"
   | Alert => "Alert"
-  | Drowsy => "Drowsy"
-  | Stuporous => "Stuporous"
-  | Comatose => "Comatose"
-  | CannotBeAssessed => "Cannot be assessed"
+  | AgitatedOrConfused => "Agitated or Confused"
+  | OnsetOfAgitationAndConfusion => "Onset of Agitation and Confusion"
   | Unknown => "Unknown"
   }
 }

diff --git a/src/Components/Facility/Consultations/NeurologicalTables.tsx b/src/Components/Facility/Consultations/NeurologicalTables.tsx
@@ -95,10 +95,11 @@ export const NeurologicalTable = (props: any) => {
   const LOC_OPTIONS = [
     { id: 0, value: "Unknown" },
     { id: 5, value: "Alert" },
-    { id: 10, value: "Drowsy" },
-    { id: 15, value: "Stuporous" },
-    { id: 20, value: "Comatose" },
-    { id: 25, value: "Cannot Be Assessed" },
+    { id: 10, value: "Responds to Voice" },
+    { id: 15, value: "Responds to Pain" },
+    { id: 20, value: "Unresponsive" },
+    { id: 25, value: "Agitated or Confused" },
+    { id: 30, value: "Onset of Agitation and Confusion" },
   ];
 
   const REACTION_OPTIONS = [
@@ -298,9 +299,9 @@ export const NeurologicalTable = (props: any) => {
             {locData.map((x: any, i: any) => (
               <div
                 key={`loc_${i}`}
-                className="min-w-max-content flex  flex-col  divide-x divide-gray-200"
+                className="min-w-max-content flex  flex-col divide-x divide-gray-200"
               >
-                <div className="border-r bg-gray-50 px-2 py-3 text-center text-xs font-medium leading-4 text-gray-700">
+                <div className="whitespace-nowrap border-r bg-gray-50 px-2 py-3 text-center text-xs font-medium leading-4 text-gray-700">
                   {x.date}
                 </div>
                 <div className="whitespace-nowrap bg-white px-6 py-4 text-center text-sm leading-5 text-gray-700">