{{-- Extends layout --}}
@extends(getThemeBasePath())

@section('page_title')
{{$page_title}}
@endsection
{{-- Content --}}
@section('content')
<!--begin::Card-->
<form class="form" method="post" action="{{$action}}" id="manage_form" enctype="multipart/form-data">
    @if(!empty($data['id']))
    @method('PUT')
    @endif
    @csrf
    <div class="card shadow-sm">
         <!--begin::Card header-->
         <div class="card-header card-header-tabs-line nav-tabs-line-3x">
            <!--begin::Toolbar-->
            <div class="card-toolbar">
                <ul class="nav nav-tabs nav-line-tabs nav-stretch fs-6 border-0">
                    <!--begin::Item-->
                    <li class="nav-item mr-3">
                        <a class="nav-link active" data-bs-toggle="tab" href="#kt_user_edit_tab_1">
                            <span class="nav-icon">
                                <i class="fa fa-user"></i>
                            </span>
                            <span class="nav-text font-size-lg">PARTICIPANT'S PERSONAL DETAILS</span>
                        </a>
                    </li>
                </ul>
            </div>
            <!--end::Toolbar-->
        </div>
        <!--end::Card header-->

        <!--begin::Card body-->
        <div class="card-body">

            <div class="tab-content">
                <!--begin::Tab-->
                <div class="tab-pane show active px-7" id="kt_user_edit_tab_1" role="tabpanel">
                    <!--begin::Row-->
                    <div class="row">
                        @if(!empty($errors->all()))
                        <div class="content-column col-lg-12 col-md-12 col-sm-12">
                            @foreach($errors->all() as $message)
                            <div class="alert alert-danger">{{ $message }}</div>
                            @endforeach
                        </div>
                        @endif


                        <div class="col-xl-12 form-group row">
                            <!--begin::Group-->
                             <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mb-7">
                                <label class="col-form-label text-lg-right text-left">Status</label>
                                <select class="form-control form-control-lg form-control-solid required form-select" name="status" required data-control="select2">
                                    @foreach(config('constant.save_list') as $gN => $gV)
                                    <option value="{{$gN}}" {{isset($data['status'])?$data['status']==$gN?'selected':'':''}}>{{$gV}}</option>
                                    @endforeach
                                </select>
                            </div>
                            <!--end::Group-->

                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mb-7">
                                <label class="col-form-label text-lg-right text-left">Participant Name</label>
                                <select class="form-control form-control-lg form-control-solid required form-select" id="{{ isset($data['client_id'])?'participantdata_dropdown_edit':'participantdata_dropdown' }}" name="client_id" required data-control="select2">
                                    <option value="">Select</option>
                                    @foreach ($participantdata as $cdata)
                                    <option value="{{ $cdata->id }}" data-address="{{ $cdata->address }}" data-ndis_number="{{ $cdata->ndis_number }}" data-dob="{{ $cdata->dob }}" data-phone="{{ $cdata->phone }}" {{ isset($data['client_id']) && $data['client_id']==$cdata->id?'selected':'' }}>{{ $cdata->name }}</option>
                                    @endforeach
                                </select>
                            </div>
                            <!--end::Group-->

                            <!--begin::Group-->
                            {{-- <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mb-7">
                                <label class="col-form-label text-lg-right text-left no-required">NDIS no</label>
                                <input class="form-control form-control-lg form-control-solid ndis_number" type="text" name="ndis_number" value="{{$data['ndis_number']??''}}" />
                            </div> --}}
                            <!--end::Group-->

                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mb-7">
                                <label class="col-form-label text-lg-right text-left no-required">Date of Birth</label>
                                <div class="input-group input-group-lg input-group-solid">
                                    <span class="input-group-text">
                                        <i class="la la-calendar"></i>
                                    </span>
                                    <input class="form-control form-control-lg form-control-solid input-from-date dob" type="text" autocomplete="off" readonly />
                                </div>
                            </div>
                            <!--end::Group-->

                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mb-7">
                                <label class="col-form-label text-lg-right text-left no-required">Address</label>
                                <input class="form-control form-control-lg form-control-solid address" type="text" value="{{ $data['address']??'' }}" name="address" />
                            </div>
                            <!--end::Group-->
                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mb-7">
                                <label class="col-form-label text-lg-right text-left no-required">Contact Details</label>
                                <input class="form-control form-control-lg form-control-solid phone" type="text" value="{{ $data['phone']??'' }}" name="phone" />
                            </div>
                            <!--end::Group-->
                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mb-7">
                                <label class="col-form-label text-lg-right text-left no-required">Medicare Number</label>
                                <input class="form-control form-control-lg form-control-solid" type="text" name="medicare_no" value="{{ $data['medicare_no']??'' }}" />
                            </div>
                            <!--end::Group-->
                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mb-7">
                                <label class="col-form-label text-lg-right text-left no-required">Pension Card Number</label>
                                <input class="form-control form-control-lg form-control-solid" type="text" name="pension_card_no" value="{{ $data['pension_card_no']??'' }}" />
                            </div>
                            <!--end::Group-->
                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mb-7">
                                <label class="col-form-label text-lg-right text-left no-required">Ambulance Cover Number</label>
                                <input class="form-control form-control-lg form-control-solid" type="text" name="ambulance_cover_no" value="{{ $data['ambulance_cover_no']??''}}" />
                            </div>
                            <!--end::Group-->
                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mb-7">
                                <label class="col-form-label text-lg-right text-left no-required">Private Health Cover</label>
                                <input class="form-control form-control-lg form-control-solid" type="text" name="private_health_cover" value="{{ $data['private_health_cover']??''}}" />
                            </div>
                            <!--end::Group-->
                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mb-7">
                                <label class="col-form-label text-lg-right text-left no-required">Do you identify yourself as:</label>
                                <select class="form-control form-control-lg form-control-solid"
                                    name="do_you_identify_yourself_as">
                                    <option value="Aboriginal" {{isset($data['do_you_identify_yourself_as']) &&
                                        $data['do_you_identify_yourself_as']=="Aboriginal" ? 'selected' : '' }}>
                                        Aboriginal</option>
                                    <option value="Torres Strait Islander"
                                        {{isset($data['do_you_identify_yourself_as']) &&
                                        $data['do_you_identify_yourself_as']=="Torres Strait Islander" ? 'selected'
                                        : '' }}>
                                        Torres Strait Islander</option>
                                    <option value="CALD" {{isset($data['do_you_identify_yourself_as']) &&
                                        $data['do_you_identify_yourself_as']=="CALD" ? 'selected' : '' }}>
                                        CALD</option>
                                    <option value="N/A" {{isset($data['do_you_identify_yourself_as']) &&
                                        $data['do_you_identify_yourself_as']=="N/A" ? 'selected' : '' }}>
                                        N/A</option>
                                    <option value="Not Stated" {{isset($data['do_you_identify_yourself_as']) &&
                                        $data['do_you_identify_yourself_as']=="Not Stated" ? 'selected' : '' }}>
                                        Not Stated</option>
                                    <option value="Aboriginal and Torres strait islander"
                                        {{isset($data['do_you_identify_yourself_as']) &&
                                        $data['do_you_identify_yourself_as']=="Aboriginal and Torres strait islander"
                                        ? 'selected' : '' }}>
                                        Aboriginal and Torres strait islander</option>
                                </select>
                            </div>
                            <!--end::Group-->
                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mb-7">
                                <label class="col-form-label text-lg-right text-left no-required">Main Language Spoken 1:</label>
                                <select class="form-control form-control-lg form-control-solid"
                                    name="main_language_spoken_1[]" multiple>
                                    @foreach (['English', 'Other than english'] as $value)
                                    <option value="{{ $value }}" {{ isset($data['main_language_spoken_1']) &&
                                        in_array($value, $data['main_language_spoken_1']) ? 'selected' : '' }}>- {{
                                        $value }}</option>
                                    @endforeach
                                </select>
                                <span class="form-label text-muted">Press CTRL KEY + Click to select multiple options at one time</span>
                            </div>
                            <!--end::Group-->
                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mb-7">
                                <label class="col-form-label text-lg-right text-left no-required">Main Language Spoken 2:</label>
                                <select class="form-control form-control-lg form-control-solid"
                                    name="main_language_spoken_2[]" multiple>
                                    @foreach (['Verbal', 'Non-verbal','Sigh language','Limited speech','Makaton/
                                    Auslan','Limited hearing','assistive technology (communication device)','Other']
                                    as $value)
                                    <option value="{{ $value }}" {{ isset($data['main_language_spoken_2']) &&
                                        in_array($value, $data['main_language_spoken_2']) ? 'selected' : '' }}>- {{
                                        $value }}</option>
                                    @endforeach
                                </select>
                                <span class="form-label text-muted">Press CTRL KEY + Click to select multiple options at one time</span>
                            </div>
                            <!--end::Group-->
                        </div>

                        <div class="col-md-12">
                            <h3>Key Contact Details:</h3>
                            <hr>
                        </div>
                        <!--begin::Group-->
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4">
                            <label class="font-weight-bolder">Profession</label>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4">
                            <label class="font-weight-bolder">Name</label>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4">
                            <label class="font-weight-bolder">Contact Details</label>
                        </div>
                        <hr>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <label class="my-4">Legal Guardian</label>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="legal_guardian_name" value="{{$SupportPlanKeyContactDetail['legal_guardian_name']??''}}" placeholder="Name" />
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="legal_guardian_contact_details" value="{{$SupportPlanKeyContactDetail['legal_guardian_contact_details']??''}}" placeholder="Contact Details" />
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <label class="my-4">PT</label>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="pt_name" value="{{$SupportPlanKeyContactDetail['pt_name']??''}}" placeholder="Name" />
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="pt_contact_details" value="{{$SupportPlanKeyContactDetail['pt_contact_details']??''}}" placeholder="Contact Details"/>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <label class="my-4">Support Coordinator</label>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="support_coordinator_name" value="{{$SupportPlanKeyContactDetail['support_coordinator_name']??''}}" placeholder="Name"/>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="support_coordinator_contact_details" value="{{$SupportPlanKeyContactDetail['support_coordinator_contact_details']??''}}" placeholder="Contact Details"/>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <label class="my-4">Family Member</label>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="family_member_name" value="{{$SupportPlanKeyContactDetail['family_member_name']??''}}" placeholder="Name" />
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="family_member_contact_details" value="{{$SupportPlanKeyContactDetail['family_member_contact_details']??''}}" placeholder="Contact Details"/>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <label class="my-4">GP</label>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="gp_name" value="{{$SupportPlanKeyContactDetail['gp_name']??''}}" placeholder="Name"/>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="gp_contact_details" value="{{$SupportPlanKeyContactDetail['gp_contact_details']??''}}" placeholder="Contact Details"/>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <label class="my-4">Psychiatrist</label>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="psychiatrist_name" value="{{$SupportPlanKeyContactDetail['psychiatrist_name']??''}}" placeholder="Name"/>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="psychiatrist_contact_details" value="{{$SupportPlanKeyContactDetail['psychiatrist_contact_details']??''}}" placeholder="Contact Details" />
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <label class="my-4">Behaviour Practitioner</label>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="behaviour_practitioner_name" value="{{$SupportPlanKeyContactDetail['behaviour_practitioner_name']??''}}" placeholder="Name" />
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="behaviour_practitioner_contact_details" value="{{$SupportPlanKeyContactDetail['behaviour_practitioner_contact_details']??''}}" placeholder="Contact Details" />
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <label class="my-4">Community Mental Health</label>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="community_mental_health_name" value="{{$SupportPlanKeyContactDetail['community_mental_health_name']??''}}" placeholder="Name" />
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="community_mental_health_contact_details" value="{{$SupportPlanKeyContactDetail['community_mental_health_contact_details']??''}}" placeholder="Contact Details" />
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <label class="my-4">Other Medical Professionals</label>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="other_medical_professionals_name" value="{{$SupportPlanKeyContactDetail['other_medical_professionals_name']??''}}" placeholder="Name"/>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-4 col-xs-4 my-2">
                            <input class="form-control form-control-lg form-control-solid " type="text" name="other_medical_professionals_contact_details" value="{{$SupportPlanKeyContactDetail['other_medical_professionals_contact_details']??''}}" placeholder="Contact Details" />
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mb-5">
                            <label>Diagnosis (Primary Disability)</label>
                        </div>

                        <div class="col-xl-8 col-lg-8 col-md-8 col-sm-12 col-xs-12 mb-5">
                            <textarea class="form-control form-control-lg form-control-solid" name="diagnosis">{{$SupportPlanKeyContactDetail['diagnosis']??''}}</textarea>
                        </div>
                        <!--end::Group-->
                        <hr>
                        <!--begin::Group-->
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mb-5">
                            <label>Medical Condition/s (Diabetes, Epilepsy, Dyspepsia, etc)</label>
                        </div>

                        <div class="col-xl-8 col-lg-8 col-md-8 col-sm-12 col-xs-12 mb-5">
                            <textarea class="form-control form-control-lg form-control-solid" name="medical_condition">{{$SupportPlanKeyContactDetail['medical_condition']??''}}</textarea>
                        </div>
                        <hr>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-md-12">
                            <h3 class="my-4">What is personal support?</h3>
                            <hr>
                            <p>Personal support means the provision of one or more of the following:</p>
                            <ul>
                                <li>
                                    assistance with personal hygiene, toileting or dressing.
                                </li>
                                <li>
                                    assistance to achieve and maintain mobility.
                                </li>
                                <li>
                                    support to seek out and maintain contact with health professionals, social networks,
                                    family, friends and the community.
                                </li>
                                <li>
                                    emotional well-being support.
                                </li>
                                <li>
                                    assistance with or supervision in administering medication.
                                </li>
                                <li>
                                    assistance with eating and maintaining adequate nutrition.
                                </li>
                            </ul>

                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-md-12">
                            <hr>
                            <h3>Participant’s profile</h3>
                            <hr>
                        </div>
                        <div class="col-lg-12">
                            <textarea class="form-control form-control-lg form-control-solid"
                                name="participants_profile">{{$SupportPlanPersonalSupport['participants_profile']??''}}</textarea>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-xl-6 col-lg-6 col-md-6 col-sm-12 col-xs-12">
                            <label class="my-4 font-weight-bold">Liking</label>
                            <textarea class="form-control form-control-lg form-control-solid"
                                name="liking">{{$SupportPlanPersonalSupport['liking']??''}}</textarea>
                        </div>
                        <div class="col-xl-6 col-lg-6 col-md-6 col-sm-12 col-xs-12">
                            <label class="my-4 font-weight-bold">Disliking</label>
                            <textarea class="form-control form-control-lg form-control-solid"
                                name="disliking">{{$SupportPlanPersonalSupport['disliking']??''}}</textarea>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-md-12">
                            <hr>
                            <h5>Participant's Goals</h5>
                            <a href="javascript:;" class="add-row-btn btn btn-success btn-sm mr-3"
                                data-type="supportPlanGoalDiv"><i class="fa fa-plus"></i> Add More</a>
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        @if(!empty($SupportPlanGoal))
                        <div class="row">
                            @foreach($SupportPlanGoal as $index => $irdata)
                            <input type="hidden" name="support_plan[{{$index}}][id]" value="{{$irdata['id']}}" />
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mt-5 supportPlanGoalDivCount">
                                <label class="mb-5">Goals</label>
                                <textarea class="form-control form-control-lg form-control-solid" name="support_plan[{{$index}}][goals]">{{$irdata['goals']??''}}</textarea>
                            </div>
                            <!--end::Group-->
                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mt-5">
                                <label class="mb-5">Steps to achieve the goals</label>
                                <textarea class="form-control form-control-lg form-control-solid" name="support_plan[{{$index}}][steps_to_achieve_the_goals]">{{$irdata['steps_to_achieve_the_goals']??''}}</textarea>
                            </div>
                            <!--end::Group-->
                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mt-5">
                                <label class="mb-5">Time frame</label>
                                <textarea class="form-control form-control-lg form-control-solid" name="support_plan[{{$index}}][time_frame]">{{$irdata['time_frame']??''}}</textarea>
                            </div>
                            @endforeach
                        </div>
                        @endif
                        @php
                        $count = count($SupportPlanGoal);
                        @endphp
                        <div class="row supportPlanGoalDiv col-lg-12">
                            <input type="hidden" name="support_plan[{{$count}}][id]" value="" />
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mt-5 supportPlanGoalDivCount">
                                <label class="mb-5">Goals</label>
                                <textarea class="form-control form-control-lg form-control-solid" name="support_plan[{{$count}}][goals]"></textarea>
                            </div>
                            <!--end::Group-->
                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mt-5">
                                <label class="mb-5">Steps to achieve the goals</label>
                                <textarea class="form-control form-control-lg form-control-solid" name="support_plan[{{$count}}][steps_to_achieve_the_goals]"></textarea>
                            </div>
                            <!--end::Group-->
                            <!--begin::Group-->
                            <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mt-5">
                                <label class="mb-5">Time frame</label>
                                <textarea class="form-control form-control-lg form-control-solid" name="support_plan[{{$count}}][time_frame]"></textarea>
                            </div>
                        </div>
                        <div class="row supportPlanGoalDiv2 col-lg-12 mb-5"></div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12">
                            <h3>Support Needs</h3>
                        </div>
                        <div class="col-xl-8 col-lg-8 col-md-8 col-sm-12 col-xs-12">
                            <h3>Summary of personal support service(s) to be provided.</h3>
                            <p>(include frequency: times per day, days per week etc)</p>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mt-4">
                            <h5 class="mt-4">Communication</h5>
                        </div>
                        <div class="col-xl-8 col-lg-8 col-md-8 col-sm-12 col-xs-12">
                            <textarea class="form-control form-control-lg form-control-solid mt-4" name="communication" placeholder="Summary">{{ $SupportPlanPersonalSupport['communication']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mt-4">
                            <h5 class="mt-4">Personal Hygiene</h5>
                            <ul>
                                <li>Bathing and showering</li>
                                <li>Going to the toilet</li>
                                <li>Continence aids </li>
                                <li>Assistance with continence</li>
                                <li>Getting dressed or undressed</li>
                                <li>Hairdressing, skin care, nail care</li>
                            </ul>
                        </div>
                        <div class="col-xl-8 col-lg-8 col-md-8 col-sm-12 col-xs-12">
                            <textarea rows="7" class="form-control form-control-lg form-control-solid mt-4" name="personal_hygiene" placeholder="Summary">{{ $SupportPlanPersonalSupport['personal_hygiene']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-lg-4 mt-4">
                            <h5 class="mt-4">Oral Health:</h5>
                            <p>People with disability are at a higher risk of poor oral health because over their
                                lifetime they are more likely to have experienced poor nutrition, poor dental hygiene
                                and lack of access to oral health care services. As a result, many people with
                                disability may have tooth decay, gum inflammation and damage, ulcerations, and mouth
                                infections</p>
                        </div>
                        <div class="col-lg-8">
                            <textarea id="kt-ckeditor-1" rows="7"
                                class="form-control form-control-lg form-control-solid mt-4" name="oral_health">{{ $SupportPlanPersonalSupport['oral_health']??"
                                <p>-  Educate the importance of regular oral hygiene as an essential component of general health and quality of life</p>
                                <p>-  Avoid or minimise any tobacco products or excess caffeine.</p>
                                <p>-  Limit alcoholic drinks</p>
                                <p>-  If your medication causes dry mouth, ask your doctor for a different medication that
                                    may not cause this condition</p>
                                <p>-  Brush teeth thoroughly twice a day</p>
                                <p>-  Floss daily between the teeth to remove dental plaque</p>
                                <p>-  Facilitate dentist visits at least once a year, even if there are nil issue or have
                                    dentures.</p>
                                <p>-  Reducing Fear of Dental Visits</p>
                                <p>-  After a dentist visit, support the participant to follow up with recommended care or
                                    changes to daily brushing routines or referral to other health professional as
                                    required or suggested by the dentist.</p>
                                " }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mt-4">
                            <h5 class="mt-4">Household Tasks</h5>
                            <ul>
                                <li>Budgeting</li>
                                <li>Shopping</li>
                                <li>Laundry</li>
                                <li>Cleaning/mopping</li>
                                <li>Dish washing</li>
                                <li>Cooking</li>
                                <li>Bedmaking</li>
                            </ul>
                        </div>
                        <div class="col-xl-8 col-lg-8 col-md-8 col-sm-12 col-xs-12">
                            <textarea rows="7" class="form-control form-control-lg form-control-solid mt-4" name="household_tasks" placeholder="Summary">{{ $SupportPlanPersonalSupport['household_tasks']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mt-4">
                            <h5 class="mt-4">Social Contact & Emotional Wellbeing</h5>
                            <p>Activities pursued, membership of clubs or groups, involvement with family and friends,
                                voluntary or paid work, spiritual worship.</p>
                        </div>
                        <div class="col-xl-8 col-lg-8 col-md-8 col-sm-12 col-xs-12">
                            <textarea rows="7" class="form-control form-control-lg form-control-solid mt-4" name="social_contact" placeholder="Summary">{{ $SupportPlanPersonalSupport['social_contact']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-lg-4 mt-4">
                            <h5 class="mt-4">Home Safety: Hot Water Safety (Scalding Risk)</h5>
                        </div>
                        <div class="col-lg-8">
                            <textarea id="kt-ckeditor-3" rows="7"
                                class="form-control form-control-lg form-control-solid mt-4" name="hot_water">{{ $SupportPlanPersonalSupport['hot_water']??'<h3>Preventing scalds: hot water standards</h3>
                                    <p>- new hot water installations in facilities where people with disability receive
                                        services. The maximum recommended water temperature at fixtures used primarily for
                                        personal hygiene purposes is 45°C (Australian Standards 2018),</p>

                                    <h3>To reduce the risk of scalding,</h3>
                                    <p>- Ensure that all new heated water installations use a thermostatic mixing valve</p>
                                    <p>- Ensure bathroom fixtures such as shower heads limit maximum water flow</p>
                                    <p>- Staff must assist as required in setting up the temperature if thermostat is not
                                        working</p>
                                    <p>- Always running the cold water in the bath or shower first before the hot water</p>
                                    <p>- Always checking the temperature of the bath, shower or other hot water before a
                                        participant enters the water.</p>
                                    <h3>What to do if scalding occurs:</h3>
                                    <p>- Apply cool running water to the site of the scald for 20 minutes.</p>
                                    <p>- Do not touch the burn.</p>
                                    <p>- Do not apply any lotions or ice to the area</p>
                                    <p>- Remove any clothing or jewellery near the scald</p>
                                    <h3>Call an ambulance if:</h3>
                                    <p>- The burn/scald is larger than a 20 cent piece</p>
                                    <p>- The burn is deep.</p>
                                    <p>- The burn has blisters, pus or discharge.</p>
                                    <p>- The skin appears leathery.</p>
                                    <p>- The burn is to the face, airways, hands or genitals.</p>
                                    <p>- There are patches of brown, black or white.</p>
                                    <p>- The person also has a fever.</p>
                                    <p>- The person is having trouble breathing.</p>' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mt-4">
                            <h5 class="mt-4">Home Safety: Fire safety awareness</h5>
                        </div>
                        <div class="col-xl-8 col-lg-8 col-md-8 col-sm-12 col-xs-12">
                            <textarea class="form-control form-control-lg form-control-solid mt-4" name="home_safety" placeholder="Summary">{{ $SupportPlanPersonalSupport['home_safety']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-xl-4 col-lg-4 col-md-4 col-sm-12 col-xs-12 mt-4">
                            <h5 class="mt-4">Community Safety</h5>
                            <ul>
                                <li>Road safety awareness</li>
                                <li>Able to navigate without assistance in the community.</li>
                                <li>Stanger danger</li>
                            </ul>
                        </div>
                        <div class="col-xl-8 col-lg-8 col-md-8 col-sm-12 col-xs-12">
                            <textarea rows="4" class="form-control form-control-lg form-control-solid mt-4" name="community_safety" placeholder="Summary">{{ $SupportPlanPersonalSupport['community_safety']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-lg-4 mt-4">
                            <h5 class="mt-4">Health Care</h5>
                            <ul>
                                <li>Food, exercise, medication etc information</li>
                                <li>GP/ Psychiatrist/ other health professionals</li>
                                <li>Visit frequency.</li>
                                <li>Specific guidance to maintain health and well-being.</li>
                                <p>Any additional health care plan (diabetes management, mealtime management, mobility
                                    management, mental health care plan, etc.)</p>
                            </ul>
                        </div>
                        <div class="col-lg-8 mt-4">
                            <p class="mt-4">How to support the participant?</p>
                            <p>Arranging to have an annual comprehensive health assessment with a GP can help prevent
                                health risks through:</p>
                            <textarea id="kt-ckeditor-2" class="form-control form-control-lg form-control-solid mt-4"
                                name="health_care">{{ $SupportPlanPersonalSupport['health_care']??"
                                <p>-  early identification of changes in a participant’s health and wellbeing</p>
                                <p>-  ensuring participants are supported to promptly access a GP when unwell</p>
                                <p>-  being proactive with chronic illness.</p>
                                " }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-xl-7 col-lg-7 col-md-7 col-sm-12 col-xs-12 mt-4">
                            <h5 class="mt-4">Medication</h5>
                            <p>Assistance or supervision taking medication, medication allergies or restrictions,
                                medications administered away from the placement.</p>
                        </div>
                        <div class="col-xl-5 col-lg-5 col-md-5 col-sm-12 col-xs-12 mt-4">
                            <label>Is the participant on any medication?</label>
                            <select class="form-control form-control-lg form-control-solid mb-4"
                                id="medication_dropdown">
                                <option value="Yes" {{ !empty($SupportPlanPersonalSupport['doctor_clinic_details']) ||
                                    !empty($SupportPlanPersonalSupport['name_of_pharmacy']) ||
                                    !empty($SupportPlanPersonalSupport['address_of_pharmacy']) ||
                                    !empty($SupportPlanPersonalSupport['frequency']) ||
                                    !empty($SupportPlanPersonalSupport['support_type']) ||
                                    !empty($SupportPlanPersonalSupport['other_support']) ? 'selected' : '' }}>Yes
                                </option>
                                <option value="No" {{ empty($SupportPlanPersonalSupport['doctor_clinic_details']) &&
                                    empty($SupportPlanPersonalSupport['name_of_pharmacy']) &&
                                    empty($SupportPlanPersonalSupport['address_of_pharmacy']) &&
                                    empty($SupportPlanPersonalSupport['frequency']) &&
                                    empty($SupportPlanPersonalSupport['support_type']) &&
                                    empty($SupportPlanPersonalSupport['other_support']) ? 'selected' : '' }}>No
                                </option>
                            </select>
                            <div id="toggleDiv" style="display: none;">
                                <div class="form-group-row">
                                    <label>Doctor/clinic details</label>
                                    <textarea class="form-control form-control-lg form-control-solid mb-4"
                                        name="doctor_clinic_details">{{ $SupportPlanPersonalSupport['doctor_clinic_details']??'' }}</textarea>
                                </div>
                                <div class="row">
                                    <p class="col-lg-4">Medications:</p>
                                    <p class="col-lg-8">Refer to the medication authority sheet</p>
                                </div>
                                <label>Name of the Pharmacy</label>
                                <input class="form-control form-control-lg form-control-solid mb-4"
                                    name="name_of_pharmacy"
                                    value="{{ $SupportPlanPersonalSupport['name_of_pharmacy']??'' }}">
                                <label>Address of the Pharmacy</label>
                                <textarea class="form-control form-control-lg form-control-solid mb-4"
                                    name="address_of_pharmacy">{{ $SupportPlanPersonalSupport['address_of_pharmacy']??'' }}</textarea>
                                <label>Frequency to collect medications</label>
                                <select class="form-control form-control-lg form-control-solid mb-4" name="frequency">
                                    <option value="">Select</option>
                                    <option value="Weekly" {{isset($SupportPlanPersonalSupport['frequency']) &&
                                        $SupportPlanPersonalSupport['frequency']=="Weekly" ? 'selected' : '' }}>Weekly
                                    </option>
                                    <option value="Fortnightly" {{isset($SupportPlanPersonalSupport['frequency']) &&
                                        $SupportPlanPersonalSupport['frequency']=="Fortnightly" ? 'selected' : '' }}>
                                        Fortnightly</option>
                                </select>
                                <label>Support Type</label>
                                <select class="form-control form-control-lg form-control-solid mb-4"
                                    name="support_type[]" id="supportType-select" multiple>
                                    @foreach (['Manages menses independently', 'Requires assistance','Requires full
                                    support. Outline routine','Other support'] as $value)
                                    <option value="{{ $value }}" {{ isset($SupportPlanPersonalSupport['support_type'])
                                        && in_array($value, $SupportPlanPersonalSupport['support_type']) ? 'selected'
                                        : '' }}>- {{ $value }}</option>
                                    @endforeach
                                </select>
                                <span class="form-label text-muted">Press CTRL KEY + Click to select multiple options at one time</span><br><br>
                                <label>Other Support</label>
                                <textarea class="form-control form-control-lg form-control-solid mb-4"
                                    id="otherSupportTextarea1"
                                    name="other_support">{{ $SupportPlanPersonalSupport['other_support']??'' }}</textarea>
                            </div>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-xl-4 col-lg-12 col-md-12 col-sm-12 col-xs-12 mt-4">
                            <h5 class="mt-4">EATING & NUTRITION</h5>
                            <ul>
                                <li><a href="javascript:;" target="_blank"> Dysphagia, safe swallowing, and mealtime management</a></li>
                                <li><a href="javascript:;" target="_blank">Meal management plan copy</a></li>
                            </ul>
                        </div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <label class="mt-4">- Is the participant on any kind of modified food or drink: id yes the participant must have been accessed by a medical professional and have a Safe swelling and meal time management plan</label>
                        </div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <textarea rows="3" class="form-control form-control-lg form-control-solid mt-4" name="is_the_participant_on_any_kind_of">{{ $SupportPlanPersonalSupport['is_the_participant_on_any_kind_of']??'' }}</textarea>
                        </div>
                        <div class="col-xl-4 col-lg-12 col-md-12 col-sm-12 col-xs-12 mt-4"></div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <label class="mt-4">- Dietary requirements (cultural, vegetarian, diabetes, gluten-free, PEG, thickened fluids, victimised food etc), </label>
                        </div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <textarea rows="3" class="form-control form-control-lg form-control-solid mt-4" name="dietary_requirements">{{ $SupportPlanPersonalSupport['dietary_requirements']??'' }}</textarea>
                        </div>
                        <div class="col-xl-4 col-lg-12 col-md-12 col-sm-12 col-xs-12 mt-4"></div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <label class="mt-4">- Special diets (PKU, gluten-free etc.), food</label>
                        </div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <textarea rows="3" class="form-control form-control-lg form-control-solid mt-4" name="special_diets">{{ $SupportPlanPersonalSupport['special_diets']??'' }}</textarea>
                        </div>
                        <div class="col-xl-4 col-lg-12 col-md-12 col-sm-12 col-xs-12 mt-4"></div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <label class="mt-4">- preferences (What likes to eat), </label>
                        </div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <textarea rows="3" class="form-control form-control-lg form-control-solid mt-4" name="preferences">{{ $SupportPlanPersonalSupport['preferences']??'' }}</textarea>
                        </div>
                        <div class="col-xl-4 col-lg-12 col-md-12 col-sm-12 col-xs-12 mt-4"></div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <label class="mt-4">- food allergies or restrictions</label>
                        </div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <textarea rows="3" class="form-control form-control-lg form-control-solid mt-4" name="food_allergies">{{ $SupportPlanPersonalSupport['food_allergies']??'' }}</textarea>
                        </div>
                        <div class="col-xl-4 col-lg-12 col-md-12 col-sm-12 col-xs-12 mt-4"></div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <label class="mt-4">- assistance with eating or drinking,</label>
                        </div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <textarea rows="3" class="form-control form-control-lg form-control-solid mt-4" name="assistance_with_eating">{{ $SupportPlanPersonalSupport['assistance_with_eating']??'' }}</textarea>
                        </div>
                        <div class="col-xl-4 col-lg-12 col-md-12 col-sm-12 col-xs-12 mt-4"></div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <label class="mt-4">- assistance with maintaining hydration.</label>
                        </div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <textarea rows="3" class="form-control form-control-lg form-control-solid mt-4" name="assistance_with_maintaining">{{ $SupportPlanPersonalSupport['assistance_with_maintaining']??'' }}</textarea>
                        </div>
                        <div class="col-xl-4 col-lg-12 col-md-12 col-sm-12 col-xs-12 mt-4"></div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <label class="mt-4">- Review medication if medications causing dry mouth and swelling issue</label>
                        </div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <textarea rows="3" class="form-control form-control-lg form-control-solid mt-4" name="review_medication">{{ $SupportPlanPersonalSupport['review_medication']??'' }}</textarea>
                        </div>
                        <div class="col-xl-4 col-lg-12 col-md-12 col-sm-12 col-xs-12 mt-4"></div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <label class="mt-4">- Is the participant on any Antipsychotic, Benzodiazepine, Antiepileptic, or combination of any three mentioned medications </label>
                        </div>
                        <div class="col-xl-4 col-lg-6 col-md-6 col-sm-12 col-xs-12 mt-4">
                            <textarea rows="3" class="form-control form-control-lg form-control-solid mt-4" name="is_the_participant_on_any_antipsychotic">{{ $SupportPlanPersonalSupport['is_the_participant_on_any_antipsychotic']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-lg-4 mt-4">
                            <h5 class="mt-4">Epilepsy Management Plan</h5>
                            <p>(if the participant has epilepsy, must be accessed by a medical professional and must
                                have a management plan)</p>
                            <p class="text-danger">- this section must be read in conjunction with the Seizure
                                management plan</p>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <label class="mt-4">- Is on any medication to manage Epilepsy </label>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <textarea class="form-control form-control-lg form-control-solid mt-4"
                                name="is_on_any_medication">{{ $SupportPlanPersonalSupport['is_on_any_medication']??'' }}</textarea>
                        </div>
                        <div class="col-lg-4 mt-4"></div>
                        <div class="col-lg-4 mt-4">
                            <label class="mt-4">- Seizures triggers (e.g.: Lack of sleep, fevers or illness, alcohol or
                                drug use, Stress, Hormonal changes such as menstrual cycles, Metabolic problems, certain
                                medications, Excess caffeine, Low blood sugar, Flashing bright lights, Certain sounds,
                                During specific times of the day or night (during sleep)</label>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <textarea rows="4" class="form-control form-control-lg form-control-solid mt-4"
                                name="seizures_triggers">{{ $SupportPlanPersonalSupport['seizures_triggers']??'' }}</textarea>
                        </div>
                        <div class="col-lg-4 mt-4"></div>
                        <div class="col-lg-4 mt-4">
                            <label class="mt-4">- My seizure description (Describe what happens before and during the
                                seizure)</label>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <textarea class="form-control form-control-lg form-control-solid mt-4"
                                name="my_seizure_description">{{ $SupportPlanPersonalSupport['my_seizure_description']??'' }}</textarea>
                        </div>
                        <div class="col-lg-4 mt-4"></div>
                        <div class="col-lg-4 mt-4">
                            <label class="mt-4">- How to support during seizure (Emergency Medication Management Plan
                                (EMMP)</label>
                        </div>
                        <div class="col-lg-1 mt-4">
                            <label class="mt-4 text-sm">The medication</label>
                        </div>
                        <div class="col-lg-3 mt-4">
                            <textarea rows="1" class="form-control form-control-lg form-control-solid mt-4"
                                name="the_medication">{{ $SupportPlanPersonalSupport2['the_medication']??'' }}</textarea>
                        </div>
                        <div class="col-lg-8 mt-4"></div>
                        <div class="col-lg-1 mt-4">
                            <label class="mt-4 text-sm">Method of administration</label>
                        </div>
                        <div class="col-lg-3 mt-4">
                            <textarea rows="1" class="form-control form-control-lg form-control-solid mt-4"
                                name="method_of_administration">{{ $SupportPlanPersonalSupport2['method_of_administration']??'' }}</textarea>
                        </div>
                        <div class="col-lg-8 mt-4"></div>
                        <div class="col-lg-1 mt-4">
                            <label class="mt-4 text-sm">Dose</label>
                        </div>
                        <div class="col-lg-3 mt-4">
                            <textarea rows="1" class="form-control form-control-lg form-control-solid mt-4"
                                name="dose">{{ $SupportPlanPersonalSupport2['dose']??'' }}</textarea>
                        </div>
                        <div class="col-lg-8 mt-4"></div>
                        <div class="col-lg-1 mt-4">
                            <label class="mt-4 text-sm">Instructions for administering the dose</label>
                        </div>
                        <div class="col-lg-3 mt-4">
                            <textarea class="form-control form-control-lg form-control-solid mt-4"
                                name="instructions_for_administering_the_dose">{{ $SupportPlanPersonalSupport2['instructions_for_administering_the_dose']??'' }}</textarea>
                        </div>
                        <div class="col-lg-8 mt-4"></div>
                        <div class="col-lg-1 mt-4">
                            <label class="mt-4 text-sm">Emergency procedures</label>
                        </div>
                        <div class="col-lg-3 mt-4">
                            <textarea rows="1" class="form-control form-control-lg form-control-solid mt-4"
                                name="emergency_procedures">{{ $SupportPlanPersonalSupport2['emergency_procedures']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-lg-4 mt-4"></div>
                        <div class="col-lg-4 mt-4">
                            <label class="mt-4">- When to call an ambulance </label>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <textarea rows="6" class="form-control form-control-lg form-control-solid mt-4"
                                name="when_to_call">{{ $SupportPlanPersonalSupport2['when_to_call']??
                                '- seizure’s length'.PHP_EOL.
                                '- If occurs in water'.PHP_EOL.
                                '- If injury has been sustained'.PHP_EOL.
                                '- If having breathing difficulty'.PHP_EOL.
                                '- If concerned at any time, call an ambulance before contacting house manager or management (time is precious)'.PHP_EOL }}</textarea>
                        </div>
                        <div class="col-lg-4 mt-4"></div>
                        <div class="col-lg-4 mt-4">
                            <label class="mt-4">- post-seizure support</label>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <textarea class="form-control form-control-lg form-control-solid mt-4"
                                name="post_seizure_support">{{ $SupportPlanPersonalSupport2['post_seizure_support']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-lg-6 mt-4">
                            <h5 class="mt-4">MOBILITY</h5>
                            <p>Aids to mobility used, capability to move around the SRS and the community independently
                                (with or without aids).</p>
                            <p><a href="javascript:;">Support plan
                                    (Mobility)</a></p>
                            <p class="text-danger">this section must read in conjunction with the Mobility management
                                plan</p>
                        </div>
                        <div class="col-lg-2 mt-4">
                            <label class="mt-4">Effect of mobility</label>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <textarea rows="6" class="form-control form-control-lg form-control-solid mt-4"
                                name="effect_of_mobility">{{ $SupportPlanPersonalSupport2['effect_of_mobility'] ??
                                '- walks within the house without any aid.'.PHP_EOL.
                                '- Requires walking frame when out in the community.'.PHP_EOL.
                                '- The chances of fall when unsupervised in the community'.PHP_EOL.
                                '- Sudden change in behaviour due to pain'.PHP_EOL.
                                '- Attempt to harm staff when frustrated.'.PHP_EOL.
                                '- Dependency on alcohol'.PHP_EOL.
                                '- Assistance requires in Cleaning and laundry.'.PHP_EOL.
                                '- Assistance requires in community access.'.PHP_EOL }}</textarea>
                        </div>
                        <div class="col-lg-6 mt-4"></div>
                        <div class="col-lg-2 mt-4">
                            <label class="mt-4">House modification</label>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <textarea class="form-control form-control-lg form-control-solid mt-4"
                                name="house_modification">{{ $SupportPlanPersonalSupport2['house_modification']??'' }}</textarea>
                        </div>
                        <div class="col-lg-6 mt-4"></div>
                        <div class="col-lg-2 mt-4">
                            <label class="mt-4">Mobility Aid</label>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <textarea class="form-control form-control-lg form-control-solid mt-4"
                                name="mobility_aid">{{ $SupportPlanPersonalSupport2['mobility_aid']??'' }}</textarea>
                        </div>
                        <div class="col-lg-6 mt-4"></div>
                        <div class="col-lg-2 mt-4">
                            <label class="mt-4">Support require from the staff</label>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <textarea class="form-control form-control-lg form-control-solid mt-4"
                                name="support_require_from_the_staff">{{ $SupportPlanPersonalSupport2['support_require_from_the_staff']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-lg-6 mt-4">
                            <h5 class="mt-4">PAIN MANAGEMENT</h5>
                            <p class="text-danger">this section must read in conjunction with the Mobility management
                                plan</p>
                        </div>
                        <div class="col-lg-2 mt-4">
                            <label class="mt-4">Causes of pain </label>
                            <span class="text-danger">(select only the applicable options)</span>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <select class="form-control form-control-lg form-control-solid mt-4" name="causes_of_pain[]"
                                multiple>
                                @foreach (['arthritis or mobility issues', 'back or hip pain', 'constipation or other
                                digestive issues', 'dental pain', 'ear or headache', 'injury or illness', 'menstrual
                                pain', 'muscle spasms'] as $value)
                                <option value="{{ $value }}" {{ isset($SupportPlanPersonalSupport2['causes_of_pain']) &&
                                    in_array($value, $SupportPlanPersonalSupport2['causes_of_pain']) ? 'selected' : ''
                                    }}>- {{ $value }}</option>
                                @endforeach
                            </select>
                            <span class="form-label text-muted">Press CTRL KEY + Click to select multiple options at one time</span>
                        </div>
                        <div class="col-lg-6 mt-4"></div>
                        <div class="col-lg-2 mt-4">
                            <label class="mt-4">Effect of the pain</label>
                            <span class="text-danger">(select only the applicable options)</span>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <select class="form-control form-control-lg form-control-solid mt-4" name="effect_of_pain[]"
                                multiple>
                                @foreach (['Behaviours of concern', 'Worsening pain', 'Physical injury or illness',
                                'Physical injury or illness', 'Reduced quality of life', 'Psychological distress',
                                'Impaired physical function', 'Impaired sleep'] as $value)
                                <option value="{{ $value }}" {{ isset($SupportPlanPersonalSupport2['effect_of_pain']) &&
                                    in_array($value, $SupportPlanPersonalSupport2['effect_of_pain']) ? 'selected' : ''
                                    }}>- {{ $value }}</option>
                                @endforeach
                            </select>
                            <span class="form-label text-muted">Press CTRL KEY + Click to select multiple options at one time</span>
                        </div>
                        <div class="col-lg-6 mt-4"></div>
                        <div class="col-lg-2 mt-4">
                            <label class="mt-4">Indicators of the pain</label>
                            <span class="text-danger">(select only the applicable options)</span>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <select class="form-control form-control-lg form-control-solid mt-4"
                                name="indicators_of_pain[]" multiple>
                                @foreach (['facial expressions or vocalisations such as grimacing,frowning,crying or
                                groaning', 'withdrawn', 'disturbed sleep or change in sleeping pattern', 'change in
                                movement', 'change in behaviour,change in routine'] as $value)
                                <option value="{{ $value }}" {{
                                    isset($SupportPlanPersonalSupport2['indicators_of_pain']) && in_array($value,
                                    $SupportPlanPersonalSupport2['indicators_of_pain']) ? 'selected' : '' }}>- {{ $value
                                    }}</option>
                                @endforeach
                            </select>
                            <span class="form-label text-muted">Press CTRL KEY + Click to select multiple options at one time</span>
                        </div>
                        <div class="col-lg-6 mt-4"></div>
                        <div class="col-lg-2 mt-4">
                            <label class="mt-4">Preventative strategies/plan </label>
                            <span class="text-danger">(select only the applicable options)</span>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <select class="form-control form-control-lg form-control-solid mt-4"
                                name="preventative_strategies[]" multiple>
                                @foreach (['health assessments', 'dental check-ups', 'Mealtime Management Plans',
                                'Epilepsy Management Plans', 'Behaviour Support Plans'] as $value)
                                <option value="{{ $value }}" {{
                                    isset($SupportPlanPersonalSupport2['preventative_strategies']) && in_array($value,
                                    $SupportPlanPersonalSupport2['preventative_strategies']) ? 'selected' : '' }}>- {{
                                    $value }}</option>
                                @endforeach
                            </select>
                            <span class="form-label text-muted">Press CTRL KEY + Click to select multiple options at one time</span>
                        </div>
                        <div class="col-lg-6 mt-4"></div>
                        <div class="col-lg-2 mt-4">
                            <label class="mt-4">Management strategies/plan </label>
                            <span class="text-danger">(select only the applicable options)</span>
                        </div>
                        <div class="col-lg-4 mt-4">
                            <select class="form-control form-control-lg form-control-solid mt-4"
                                name="management_strategies[]" multiple>
                                @foreach (['A GP Management Plan (GPMP)', 'Medication review'] as $value)
                                <option value="{{ $value }}" {{
                                    isset($SupportPlanPersonalSupport2['management_strategies']) && in_array($value,
                                    $SupportPlanPersonalSupport2['management_strategies']) ? 'selected' : '' }}>- {{
                                    $value }}</option>
                                @endforeach
                            </select>
                            <span class="form-label text-muted">Press CTRL KEY + Click to select multiple options at one time</span>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-lg-4 mt-4">
                            <h5 class="mt-4">DIABETES MANAGEMENT PLAN</h5>
                            <p class="text-danger">this section must be read in conjunction with the Diabetes management
                                plan.</p>
                        </div>
                        <div class="col-lg-8 mt-4">
                            <textarea class="form-control form-control-lg form-control-solid mt-4"
                                name="diabetes_management_plan">{{ $SupportPlanPersonalSupport2['diabetes_management_plan']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-lg-4 mt-4">
                            <h5 class="mt-4">Behaviours of concern</h5>
                            <p>(behaviour management guidelines- staff must refer to PBSP and crisis response procedure)
                            </p>
                        </div>
                        <div class="col-lg-8 mt-4">
                            <textarea class="form-control form-control-lg form-control-solid mt-4"
                                name="behaviours_of_concern">{{ $SupportPlanPersonalSupport2['behaviours_of_concern']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-lg-4 mt-4">
                            <h5 class="mt-4">SUN AND SUMMER SAFETY PLAN</h5>
                            <p class="text-danger">this section must be read in conjunction with the Diabetes management
                                plan.</p>
                        </div>
                        <div class="col-lg-8 mt-4">
                            <strong>Step one: Identifying an Extreme Heat Event</strong>
                            <label>- a day of extreme heat is one where the Bureau of Meteorology forecast for the day
                                is “Very Hot” (40C+ Inland, 37C+ Coastal); <br>
                                - this also applies for each subsequent day after a Heat Wave is declared, which is
                                three (3) or more days in a row that are “Hot” (35-39C Inland, 32-37C) or “Very Hot”;
                                <br>
                                - For up-to-date warnings and further information on the weather forecast please visit
                                the Bureau of Meteorology's website at <a
                                    href="http://www.bom.gov.au/">www.bom.gov.au</a>
                            </label>
                        </div>
                        <div class="col-lg-4 mt-4"></div>
                        <div class="col-lg-8 mt-4">
                            <strong>Step two: Supporting participant on the hot days:</strong>
                            <label>Staff to remind participants to be mindful and aware that day and the next few days
                                will be extremely hot. Please take extra care as described below;</label>
                            <ul>
                                <li>Stay indoors and out of the heat.</li>
                                <li>Drink plenty of water - keep hydrated. </li>
                                <li>Cancel/reduce outings that take you and your Participants into the heat.</li>
                                <li>Wear loose and light clothing.</li>
                                <li>Apply Sun-Screen rated 35+ - Wear a Hat.</li>
                                <li>Extra checks on each other and our Participants.</li>
                                <li>Have Air conditioners turned on cool and set around 22-24C.</li>
                                <li>Draw / Close Curtains / Blinds to keep heat out and block the sun.</li>
                                <li>Take time out to check if the Participants you provide support to have any
                                    conditions/medications that can be adversely affected by heat. </li>
                                <li>Take cool water temperature showers or baths.</li>
                            </ul>
                        </div>
                        <div class="col-lg-4 mt-4"></div>
                        <div class="col-lg-8 mt-4">
                            <label>Let others know - report if you feel unwell or others look unwell. <br>
                                Staff to remind participants to be mindful and aware that day and the next few days will
                                be extremely hot. Please take extra care as described below;</label>
                            <strong>When UV is 3+</strong><br>
                            <img class="m-2" src="{{ url('images/support_plan/Picture1.png') }}" alt="Picture1">
                            <img class="m-2" src="{{ url('images/support_plan/Picture2.png') }}" alt="Picture2">
                            <img class="m-2" src="{{ url('images/support_plan/Picture3.png') }}" alt="Picture3">
                            <img class="m-2" src="{{ url('images/support_plan/Picture4.png') }}" alt="Picture4">
                        </div>
                        <div class="col-lg-4 mt-4"></div>
                        <div class="col-lg-8 mt-4">
                            <strong>Step three: Dealing with heat-related emergency</strong><br>
                            <label>Identify the signs and symptoms of Heat Exhaustion and heat stroke</label>
                            <ul>
                                <li>Headaches </li>
                                <li>Nausea and vomiting </li>
                                <li>Rapid pulse</li>
                                <li>Extremely thirsty</li>
                                <li>Dry, swollen tongue</li>
                                <li>Disoriented, dizzy or delirious, slurred speech Body temperature more than 40°c
                                </li>
                                <li>Convulsions, seizures or coma</li>
                                <li>May be sweating, skin may feel deceptively cool</li>
                            </ul>
                            <p>Management:</p>
                            <label>- go to a cool, shaded place and lie down with legs supported and slightly lifted
                                <br>
                                - Call 000 immediately <br>
                                - slowly sip plenty of water or fruit juice, avoiding caffeine and alcohol <br>
                                - try to cool down with a fan or an air-conditioner, with cool water sprayed on the skin
                                or by having a cool shower or bath <br>
                                - Reduce temperature until an ambulance arrives (reduce body temperature by putting cool
                                packs under the armpits, in the groin and on the back of the neck) <br>
                                - <a href="javascript:;"
                                    target="__blank"> Resources
                                    links</a>
                            </label>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-lg-4 mt-4">
                            <h5 class="mt-4">FINANCE</h5>
                        </div>
                        <div class="col-lg-8">
                            <textarea class="form-control form-control-lg form-control-solid mt-4"
                                name="finance">{{ $SupportPlanPersonalSupport2['finance']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-lg-4 mt-4">
                            <h5 class="mt-4">SLEEPING HABITS</h5>
                        </div>
                        <div class="col-lg-8">
                            <textarea class="form-control form-control-lg form-control-solid mt-4"
                                name="sleeping_habits">{{ $SupportPlanPersonalSupport2['sleeping_habits']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                        <!--begin::Group-->
                        <div class="col-lg-4 mt-4">
                            <h5 class="mt-4">MENSTRUATION:</h5>
                        </div>
                        <div class="col-lg-8">
                            <select class="form-control form-control-lg form-control-solid mb-4" name="menstruation[]"
                                id="menstruation-select" multiple>
                                @foreach (['Manages menses independently', 'Requires assistance to manage
                                menses','Requires full support. Outline routine','Other support'] as $value)
                                <option value="{{ $value }}" {{ isset($SupportPlanPersonalSupport2['menstruation']) &&
                                    in_array($value, $SupportPlanPersonalSupport2['menstruation']) ? 'selected' : '' }}>
                                    - {{ $value }}</option>
                                @endforeach
                            </select>
                            <span class="form-label text-muted">Press CTRL KEY + Click to select multiple options at one time</span><br><br>
                            <label>Others</label>
                            <textarea class="form-control form-control-lg form-control-solid mb-4"
                                id="otherSupportTextarea"
                                name="other_support_menstruation">{{ $SupportPlanPersonalSupport2['other_support_menstruation']??'' }}</textarea>
                        </div>
                        <div class="col-md-12">
                            <hr>
                        </div>
                        <!--end::Group-->
                    </div>
                    <!--end::Row-->
                </div>
                <!--end::Tab-->
            </div>
            <!--begin::Card body-->
            <div class="card-footer text-right">
                <button type="submit" class="btn btn-primary mr-2" onclick="$('#manage_form').submit();">Submit</button>
                <a href="{{route('support_plan.index')}}"><button type="button"
                        class="btn btn-secondary">Cancel</button></a>
            </div>
        </div>
        <!--end::Card-->
</form>
@endsection

{{-- Scripts Section --}}
@section('scripts')
<script type="text/javascript">
    $(document).ready(function() {

        $('.add-row-btn').on('click', function() {
            var type = $(this).attr('data-type');
            var counter = $('.' + type + 'Count').length;
            var cloneDiv = $('.' + type).clone();
            cloneDiv = $(cloneDiv);
            cloneDiv.find('.form-control').each(function() {
                console.log(counter, $(this).attr('name'), $(this).attr('name').replace(/\[\d+](?!.*\[\d)/, '[' + counter + ']'))
                $(this).attr('name', $(this).attr('name').replace(/\[\d+](?!.*\[\d)/, '[' + counter + ']'));
                $(this).val('');
            });
            var appendDiv = $(cloneDiv).html();
            $('.' + type + '2').append(appendDiv);
        });


        function clearsFormFields() {
            $("#toggleDiv :input").val("");
            $("#toggleDiv > textarea").val("");
            $("#toggleDiv > select").val("");
        }

        var medicationDropdown = $('#medication_dropdown');
            medicationDropdown.on('change', function() {
            if (medicationDropdown.val() === 'Yes') {
                $("#toggleDiv").show();
            } else {
                $("#toggleDiv").hide();
                clearsFormFields();
            }
        });

        // Call clearFormFields() on page load
        if (medicationDropdown.val() === 'No') {
            clearsFormFields();
        }else{
            $("#toggleDiv").show();
        }

        // Client Dropdown
        function updateFields(selector) {
            let address = $(selector).find(":selected").data('address');
            // let ndis_number = $(selector).find(":selected").data('ndis_number');
            let dob = $(selector).find(":selected").data('dob');
            let phone = $(selector).find(":selected").data('phone');

            $(".address").val(address);
            // $(".ndis_number").val(ndis_number);
            $(".dob").val(dob);
            $(".phone").val(phone);
        }

        $(document).on('change', '#participantdata_dropdown', function() {
        updateFields(this);
        });

        updateFields('#participantdata_dropdown_edit');

        $(document).on('change', '#participantdata_dropdown_edit', function() {
            let dob = $(this).find(":selected").data('dob');
            $(".dob").val(dob);
        });


        $('#manage_form').validate({
            ignore: [],
            rules: {
                'client_id': {
                    required: true,
                }

            },
            invalidHandler: function(form, validator) {
                var errors = validator.numberOfInvalids();
                if (errors && errors == 1) {
                    console.log(validator.errorList)
                }
                $(".tab-content").find('.tab-pane:not(.active) .text-danger:not([style*="display: none"]):first').each(function(index, tab) {
                    var id = $(tab).parents('.tab-pane:first').attr("id");
                    console.log(id)
                    $('a[href="#' + id + '"]').tab('show');
                });
            }
        });
    });
</script>
<script src="https://cdn.ckeditor.com/4.15.1/standard/ckeditor.js"></script>
<script type="text/javascript">
    $(document).ready(function() {
        // tagging support
        $('.kt_select2_11').select2({
            placeholder: "Add a tag",
            tags: true
        });
        CKEDITOR.replace('kt-ckeditor-1', {
            fullPage: false,
            allowedContent: true,
            versionCheck: false
        });
        CKEDITOR.replace('kt-ckeditor-2', {
            fullPage: false,
            allowedContent: true,
            versionCheck: false
        });
        CKEDITOR.replace('kt-ckeditor-3', {
            fullPage: false,
            allowedContent: true,
            versionCheck: false
        });
        $('#manage_form').validate();
    });
</script>
@endsection