EVOLUTION-NINJA

Edit File: manual_feedback.php

<?php echo view('includes/header-labour',$patient, $feed, $feedcheck, $preo, $posto, $follo, $proccheck, $ecocheck, $focus, $allcheck, $old_check, $old_check); ?> <section> <div role="tabpanel" class="tab-pane" > <form id="save-feedback"> <h3 style="text-align:center; color:blue;">Add Feedback Manually</h3> <div class="feed-card"> <div class="card-header"> <h4>1.During or after the procedure,did you experience (rate the severity)</h4> </div> <div class="card-body"> <ul> <li id="first-case"><b>a) Drowsiness</b></li> <li> <div class="form-check"> <label class="form-check-label" for="check1"> <input type="radio" class="form-check-input" id="check1" name="option1" value="No" checked >No </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check2"> <input type="radio" class="form-check-input" id="check2" name="option1" value="Mild" >Mild </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check3"> <input type="radio" class="form-check-input" id="check3" name="option1" value="Moderate" >Moderate </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check4"> <input type="radio" class="form-check-input" id="check4" name="option1" value="Severe" >Severe </label> </div><!--form-check--> </li> </ul><!--ul--> <!-- <ul> <li id="first-case"><b>b) Pain at the Site of Surgery</b></li> <li> <div class="form-check"> <label class="form-check-label" for="check5"> <input type="radio" class="form-check-input" id="check5" name="option2" value="No" >No </label> </div> </li> <li> <div class="form-check"> <label class="form-check-label" for="check6"> <input type="radio" class="form-check-input" id="check6" name="option2" value="Mild" >Mild </label> </div> </li> <li> <div class="form-check"> <label class="form-check-label" for="check7"> <input type="radio" class="form-check-input" id="check7" name="option2" value="Moderate" >Moderate </label> </div> </li> <li> <div class="form-check"> <label class="form-check-label" for="check8"> <input type="radio" class="form-check-input" id="check8" name="option2" value="Severe" >Severe </label> </div> </li> </ul> --> <ul> <li id="first-case"><b>b) Thirst</b></li> <li> <div class="form-check"> <label class="form-check-label" for="check9"> <input type="radio" class="form-check-input" id="check9" name="option3" value="No" checked >No </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check10"> <input type="radio" class="form-check-input" id="check10" name="option3" value="Mild" >Mild </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check11"> <input type="radio" class="form-check-input" id="check11" name="option3" value="Moderate" >Moderate </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check12"> <input type="radio" class="form-check-input" id="check12" name="option3" value="Severe" >Severe </label> </div><!--form-check--> </li> </ul><!--ul--> <!-- <ul> <li id="first-case"><b>d) Hoarseness</b></li> <li> <div class="form-check"> <label class="form-check-label" for="check13"> <input type="radio" class="form-check-input" id="check13" name="option4" value="No" >No </label> </div> </li> <li> <div class="form-check"> <label class="form-check-label" for="check14"> <input type="radio" class="form-check-input" id="check14" name="option4" value="Mild" >Mild </label> </div> </li> <li> <div class="form-check"> <label class="form-check-label" for="check15"> <input type="radio" class="form-check-input" id="check15" name="option4" value="Moderate" >Moderate </label> </div> </li> <li> <div class="form-check"> <label class="form-check-label" for="check16"> <input type="radio" class="form-check-input" id="check16" name="option4" value="Severe" >Severe </label> </div> </li> </ul> --> <!-- <ul> <li id="first-case"><b>e)Sore Throat</b></li> <li> <div class="form-check"> <label class="form-check-label" for="check17"> <input type="radio" class="form-check-input" id="check17" name="option5" value="No" >No </label> </div> </li> <li> <div class="form-check"> <label class="form-check-label" for="check18"> <input type="radio" class="form-check-input" id="check18" name="option5" value="Mild" >Mild </label> </div> </li> <li> <div class="form-check"> <label class="form-check-label" for="check19"> <input type="radio" class="form-check-input" id="check19" name="option5" value="Moderate" >Moderate </label> </div> </li> <li> <div class="form-check"> <label class="form-check-label" for="check20"> <input type="radio" class="form-check-input" id="check20" name="option5" value="Severe" >Severe </label> </div> </li> </ul> --> <ul> <li id="first-case"><b>c) Nausea or vomiting</b></li> <li> <div class="form-check"> <label class="form-check-label" for="check21"> <input type="radio" class="form-check-input" id="check21" name="option6" value="No" checked >No </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check22"> <input type="radio" class="form-check-input" id="check22" name="option6" value="Mild" >Mild </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check23"> <input type="radio" class="form-check-input" id="check23" name="option6" value="Moderate" >Moderate </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check24"> <input type="radio" class="form-check-input" id="check24" name="option6" value="Severe" >Severe </label> </div><!--form-check--> </li> </ul><!--ul--> <ul> <li id="first-case"><b>d) Feeling Cold</b></li> <li> <div class="form-check"> <label class="form-check-label" for="check25"> <input type="radio" class="form-check-input" id="check25" name="option7" value="No" checked >No </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check26"> <input type="radio" class="form-check-input" id="check26" name="option7" value="Mild" >Mild </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check27"> <input type="radio" class="form-check-input" id="check27" name="option7" value="Moderate" >Moderate </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check28"> <input type="radio" class="form-check-input" id="check28" name="option7" value="Severe" >Severe </label> </div><!--form-check--> </li> </ul><!--ul--> <ul> <li id="first-case"><b>e) Confusion or disorientation</b></li> <li> <div class="form-check"> <label class="form-check-label" for="check29"> <input type="radio" class="form-check-input" id="check29" name="option8" value="No" checked >No </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check30"> <input type="radio" class="form-check-input" id="check30" name="option8" value="Mild" >Mild </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check31"> <input type="radio" class="form-check-input" id="check31" name="option8" value="Moderate" >Moderate </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check32"> <input type="radio" class="form-check-input" id="check32" name="option8" value="Severe" >Severe </label> </div><!--form-check--> </li> </ul><!--ul--> <ul> <li id="first-case"><b>f) Backpain (pain at the site of the anaesthetic injection)</b></li> <li> <div class="form-check"> <label class="form-check-label" for="check33"> <input type="radio" class="form-check-input" id="check33" name="option9" value="No" checked >No </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check34"> <input type="radio" class="form-check-input" id="check34" name="option9" value="Mild" >Mild </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check35"> <input type="radio" class="form-check-input" id="check35" name="option9" value="Moderate" >Moderate </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check36"> <input type="radio" class="form-check-input" id="check36" name="option9" value="Severe" >Severe </label> </div><!--form-check--> </li> </ul><!--ul--> <ul> <li id="first-case"><b>g) Shivering</b></li> <li> <div class="form-check"> <label class="form-check-label" for="check37"> <input type="radio" class="form-check-input" id="check37" name="option10" value="No" checked >No </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check38"> <input type="radio" class="form-check-input" id="check38" name="option10" value="Mild" >Mild </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check39"> <input type="radio" class="form-check-input" id="check39" name="option10" value="Moderate" >Moderate </label> </div><!--form-check--> </li> <li> <div class="form-check"> <label class="form-check-label" for="check40"> <input type="radio" class="form-check-input" id="check40" name="option10" value="Severe" >Severe </label> </div><!--form-check--> </li> </ul><!--ul--> </div> </div><!--feed-card--> <div class="feed-card"> <div class="card-header"> <h4>Satisfaction with Labour pain relief care</h4> </div> <div class="card-body"> <div class="card-info1"> <!-- <h6>1).Did you had pain before surgery ?</h6> <div class="row"> <div class="col-sm-1"></div> <div class="col-sm-8 py-2"> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option11" value="Yes">Yes </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option11" value="No">No </label> </div> </div> </div> --><!--row--> <!-- <div class="row py-2"> <div class="col-sm-6"> <span>a)&nbsp;&nbsp; Was your anaesthetist involved in managing your pain before surgery ?</span> </div> <div class="col-sm-8"> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option12" value="Yes">Yes </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option12" value="No">No </label> </div> </div> <div class="col-sm-2"></div> </div> --><!--row--> <!-- <div class="row py-2"> <div class="col-sm-6"> <span>b)How well was it managed ?</span> </div> <div class="col-sm-8"> <ul> <li> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option13" value="Very Satisfied">Very Satisfied </label> </div> </li> <li> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option13" value="Satisfied">Satisfied </label> </div> </li> <li> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option13" value="dissatisfied">dissatisfied </label> </div> </li> <li> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option13" value="Very dissatisfied">Very dissatisfied </label> </div> </li> <li class="pt"> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option13" value="Unable to answer">Unable to answer </label> </div> </li> </ul> </div> </div> --><!--row--> </div><!--card-info1--> <div class="card-info1"> <h6>1).Did you feel you had time to ask your anaesthetist,questions before your labour pain relief procedure?</h6> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option14" value="Yes">Yes </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option14" value="No">No </label> </div> </div><!--card-info1--> <div class="card-info1"> <h6>2).How satisfied were you with the information on Regional anaesthesia provided by your anaesthetist?</h6> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option15" value="Very satisfied">Very satisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option15" value="Satisfied">Satisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option15" value="Dissatisfied">Dissatisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option15" value="Very Dissatisfied">Very Dissatisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option15" value="Unable to Answer">Unable to Answer </label> </div> </div><!--card-info1--> <div class="card-info1"> <h6>3).How satisfied were you from labour pain relief procedure ?</h6> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option16" value="Very satisfied">Very satisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option16" value="Satisfied">Satisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option16" value="Dissatisfied">Dissatisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option16" value="Very Dissatisfied">Very Dissatisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option16" value="Unable to Answer">Unable to Answer </label> </div> </div><!--card-info1--> <!-- <div class="card-info1"> <h6>5).How satisfied have you been with pain theraphy after surgery ?</h6> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option17" value="Very satisfied">Very satisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option17" value="Satisfied">Satisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option17" value="Dissatisfied">Dissatisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option17" value="Very Dissatisfied">Very Dissatisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option17" value="Unable to Answer">Unable to Answer </label> </div> </div> --><!--card-info1--> <!-- <div class="card-info1"> <h6>6).How satisfied were you with treatment of nausea and vomiting after the operation?</h6> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option18" value="Very satisfied">Very satisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option18" value="Satisfied">Satisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option18" value="Dissatisfied">Dissatisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option18" value="Very Dissatisfied">Very Dissatisfied </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option18" value="Unable to Answer">Unable to Answer </label> </div> </div> --><!--card-info1--> <div class="card-info1"> <h6>4).To what degree after the delivery, did numbness or heaviness of the anaesthetised limb or body part bother you ?</h6> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option19" value="None">None </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option19" value="Mild-Barely noticeable">Mild-Barely noticeable </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option19" value="Moderate:definietly noticeable">Moderate:definitely noticeable </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option19" value="Severe:very pre-occupied by the symptom">Severe:very pre-occupied by the symptom </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option19" value="Unable to Answer">Unable to Answer </label> </div> </div><!--card-info1--> <div class="card-info1"> <h6>5).When the numbness/heaviness related to the regional anaesthesia wore off,how much pain did you experience ?</h6> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option20" value="None">None </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option20" value="Mild-Barely noticeable">Mild-Barely noticeable </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option20" value="Moderate Pain">Moderate Pain </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option20" value="Severe Pain">Severe Pain </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option20" value="Unable to Answer">Unable to Answer </label> </div> </div><!--card-info1--> <!-- <div class="card-info1"> <h6>9).Were you to require a similar operation again,would you be happy to have the same type of a regional anaesthetic again ?</h6> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option21" value="Yes">Yes </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option21" value="No">No </label> </div> <div class="form-check-inline"> <label class="form-check-label"> <input type="radio" class="form-check-input" name="option21" value="Unable to Answer">Unable to Answer </label> </div> </div> --><!--card-info1--> <div class="card-info1"> <h6>6).Overall satisfaction score(1:Least satisfied to 10:most satisfied)</h6> <!-- <input type="number" class="form-control" name="overall_satisfaction" style="width: 50%;"> --> <div class="form-group"> <select class="form-control" id="overall_satisfaction" name="overall_satisfaction" style="width:30%;"> <option>1</option> <option>2</option> <option>3</option> <option>4</option> <option>5</option> <option>6</option> <option>7</option> <option>8</option> <option>9</option> <option>10</option> </select> </div> </div><!--card-info1--> <div class="card-info1"> <h6>7).Is there any suggestion you would like to make to improve the quality of anaesthesia care?</h6> <textarea class="form-control any_suggestions" rows="3" name="any_suggestions" style="width:75%;"></textarea> </div><!--card-info1--> <div class="row"> <div class="col-sm-9"></div> <div class="col-sm-3"><button type="submit" class="btn-submit">Submit</button></div> </div> </div> </div><!--feed-card--> </form> </div><!--feedback-tab--> </section><!--tab-content--> <script type="text/javascript"> $(document).ready(function(){ $('#save-feedback').submit(function(e){ e.preventDefault(); var any_suggestions = $('.any_suggestions').val(); var formData = new FormData(this); formData.append('any_suggestions',any_suggestions); // console.log("before"); var pr_1 = $('input[name="option14"]:checked').val(); var pr_2 = $('input[name="option15"]:checked').val(); var pr_3 = $('input[name="option16"]:checked').val(); var pr_4 = $('input[name="option19"]:checked').val(); var pr_5 = $('input[name="option20"]:checked').val(); var pr_6 = $('#overall_satisfaction').val(); if(pr_1 && pr_2 && pr_3 && pr_4 && pr_5 && pr_6 && any_suggestions){ // console.log('checked'); // return; // console.log("after"); $.ajax({ type : "POST", url : '<?php echo base_url("addFeed-labour")?>', data : formData, contentType: false, processData: false, success:function(response){ response = jQuery.parseJSON(response); if(response.result==1){ toastr["success"](response.message); $('#save-feedback')[0].reset(); window.location = '<?php echo base_url("labour/Feedback")?>?id='+response.msg; } else toastr["error"](response.message); } }); } else{ toastr["error"]('Please answer all the question'); } }); }); </script> <?php echo view('includes/footer-labour'); ?>