from reportlab.lib.pagesizes import A4
from reportlab.lib import colors
from reportlab.lib.units import mm
from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle
from reportlab.platypus import (
    SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle, HRFlowable
)
from reportlab.lib.enums import TA_LEFT, TA_CENTER

OUTPUT = "/home/daytona/workspace/swallowing-therapist/Swallowing_Therapist_Session_Checklist.pdf"

doc = SimpleDocTemplate(
    OUTPUT,
    pagesize=A4,
    leftMargin=15*mm,
    rightMargin=15*mm,
    topMargin=15*mm,
    bottomMargin=15*mm,
)

# ── Colour palette ──────────────────────────────────────────────────────────
TEAL      = colors.HexColor("#1A7A8A")
TEAL_LIGHT= colors.HexColor("#D6EEF1")
DARK      = colors.HexColor("#1C2B35")
MID_GREY  = colors.HexColor("#6B7C85")
ROW_ALT   = colors.HexColor("#F0F8FA")
WHITE     = colors.white

# ── Styles ───────────────────────────────────────────────────────────────────
styles = getSampleStyleSheet()

title_style = ParagraphStyle(
    "Title",
    fontName="Helvetica-Bold",
    fontSize=18,
    textColor=WHITE,
    alignment=TA_CENTER,
    leading=22,
)
subtitle_style = ParagraphStyle(
    "Subtitle",
    fontName="Helvetica",
    fontSize=9,
    textColor=WHITE,
    alignment=TA_CENTER,
    leading=12,
)
section_style = ParagraphStyle(
    "Section",
    fontName="Helvetica-Bold",
    fontSize=10,
    textColor=WHITE,
    alignment=TA_LEFT,
    leading=13,
    leftIndent=4,
)
item_style = ParagraphStyle(
    "Item",
    fontName="Helvetica",
    fontSize=9,
    textColor=DARK,
    alignment=TA_LEFT,
    leading=13,
    leftIndent=2,
)
note_style = ParagraphStyle(
    "Note",
    fontName="Helvetica-Oblique",
    fontSize=7.5,
    textColor=MID_GREY,
    alignment=TA_LEFT,
    leading=10,
    leftIndent=2,
)
footer_style = ParagraphStyle(
    "Footer",
    fontName="Helvetica",
    fontSize=7,
    textColor=MID_GREY,
    alignment=TA_CENTER,
)

# ── Helper: checkbox + item row ───────────────────────────────────────────────
def item_row(text, note=None, shade=False):
    bg = ROW_ALT if shade else WHITE
    item_para = Paragraph(text, item_style)
    note_para = Paragraph(note, note_style) if note else Paragraph("", note_style)
    # checkbox cell is a small square drawn via a nested table
    checkbox = Table(
        [[""]],
        colWidths=[5*mm],
        rowHeights=[5*mm],
    )
    checkbox.setStyle(TableStyle([
        ("BOX",    (0,0),(0,0), 1, colors.HexColor("#9BB8BE")),
        ("BACKGROUND", (0,0),(0,0), WHITE),
        ("VALIGN", (0,0),(0,0), "MIDDLE"),
    ]))
    row = Table(
        [[checkbox, item_para], ["", note_para]],
        colWidths=[8*mm, None],
        rowHeights=[None, None],
    )
    row.setStyle(TableStyle([
        ("BACKGROUND", (0,0),(-1,-1), bg),
        ("VALIGN",     (0,0),(-1,-1), "TOP"),
        ("LEFTPADDING",(0,0),(-1,-1), 2),
        ("RIGHTPADDING",(0,0),(-1,-1), 4),
        ("TOPPADDING", (0,0),(-1,-1), 2),
        ("BOTTOMPADDING",(0,0),(-1,-1), 2),
    ]))
    return row

# ── Helper: section header ────────────────────────────────────────────────────
def section_header(title, icon=""):
    label = Paragraph(f"{icon}  {title}", section_style)
    t = Table([[label]], colWidths=[None])
    t.setStyle(TableStyle([
        ("BACKGROUND",    (0,0),(-1,-1), TEAL),
        ("TOPPADDING",    (0,0),(-1,-1), 4),
        ("BOTTOMPADDING", (0,0),(-1,-1), 4),
        ("LEFTPADDING",   (0,0),(-1,-1), 6),
        ("RIGHTPADDING",  (0,0),(-1,-1), 6),
        ("ROUNDEDCORNERS",(0,0),(-1,-1), [3,3,3,3]),
    ]))
    return t

# ── Content ───────────────────────────────────────────────────────────────────
story = []

# ── Title banner ──────────────────────────────────────────────────────────────
banner_data = [[
    Paragraph("Swallowing Therapist", title_style),
    Paragraph("Session Preparation Checklist", title_style),
]]
# Actually build a stacked title
title_table = Table(
    [[Paragraph("SWALLOWING THERAPIST", title_style)],
     [Paragraph("Session Preparation Checklist", subtitle_style)],
     [Paragraph("Clinical Dysphagia Service  |  Print & tick before each session", subtitle_style)]],
    colWidths=[None],
)
title_table.setStyle(TableStyle([
    ("BACKGROUND",    (0,0),(-1,-1), TEAL),
    ("TOPPADDING",    (0,0),(-1,-1), 8),
    ("BOTTOMPADDING", (0,0),(-1,-1), 8),
    ("LEFTPADDING",   (0,0),(-1,-1), 10),
    ("RIGHTPADDING",  (0,0),(-1,-1), 10),
]))
story.append(title_table)
story.append(Spacer(1, 4*mm))

# ── Session info strip ────────────────────────────────────────────────────────
info_row = Table(
    [[
        Paragraph("<b>Date:</b> ___________________", item_style),
        Paragraph("<b>Patient/Client:</b> _______________________", item_style),
        Paragraph("<b>Setting:</b> __________________", item_style),
        Paragraph("<b>Clinician:</b> ________________", item_style),
    ]],
    colWidths=["25%","35%","20%","20%"],
)
info_row.setStyle(TableStyle([
    ("BACKGROUND",    (0,0),(-1,-1), TEAL_LIGHT),
    ("BOX",           (0,0),(-1,-1), 0.5, TEAL),
    ("TOPPADDING",    (0,0),(-1,-1), 5),
    ("BOTTOMPADDING", (0,0),(-1,-1), 5),
    ("LEFTPADDING",   (0,0),(-1,-1), 6),
    ("RIGHTPADDING",  (0,0),(-1,-1), 6),
    ("VALIGN",        (0,0),(-1,-1), "MIDDLE"),
]))
story.append(info_row)
story.append(Spacer(1, 4*mm))

# ═══════════════════════════════════════════════════════════════════════════
# Two-column layout
# ═══════════════════════════════════════════════════════════════════════════
LEFT_W  = 88*mm
RIGHT_W = 88*mm
GAP     = 4*mm

def build_section(header_text, items):
    """Returns a list of flowables for one checklist section."""
    block = []
    block.append(section_header(header_text))
    for i, (text, note) in enumerate(items):
        block.append(item_row(text, note, shade=(i % 2 == 1)))
    block.append(Spacer(1, 3*mm))
    return block

def flowables_to_table_col(flowables, width):
    """Wraps a list of flowables into a single-cell Table for use in a column."""
    from reportlab.platypus import KeepTogether
    cell_table = Table([[f] for f in flowables], colWidths=[width])
    cell_table.setStyle(TableStyle([
        ("LEFTPADDING",  (0,0),(-1,-1), 0),
        ("RIGHTPADDING", (0,0),(-1,-1), 0),
        ("TOPPADDING",   (0,0),(-1,-1), 0),
        ("BOTTOMPADDING",(0,0),(-1,-1), 0),
    ]))
    return cell_table

# ── LEFT COLUMN ───────────────────────────────────────────────────────────────
left_items = []

left_items += build_section("ASSESSMENT & SCREENING TOOLS", [
    ("Pulse oximeter", "Monitor O2 sat during trials; drop ≥2% may indicate aspiration"),
    ("Stethoscope (flat diaphragm)", "Cervical auscultation — place on thyroid cartilage"),
    ("Penlight / small torch", "Oral cavity & cranial nerve inspection"),
    ("Tongue depressors", "Oral motor exam; resistance exercises"),
    ("Gauze squares", "Tongue protrusion test; bolus control"),
    ("Gloves (nitrile/non-latex)", "Essential for all oral examination"),
    ("Face mask & apron", "Standard PPE; aerosol precautions"),
    ("Graduated cup / 30 mL syringe", "Controlled water swallow test (30 mL or 100 mL WST)"),
    ("Stopwatch / timer", "WST: measures speed, capacity & volume"),
])

left_items += build_section("VALIDATED OUTCOME MEASURES", [
    ("EAT-10 form", "Patient-reported dysphagia severity screening"),
    ("GUSS (Gugging Swallowing Screen)", "Validated bedside screening tool"),
    ("MASA form", "Mann Assessment of Swallowing Ability"),
    ("FOIS reference card", "Functional Oral Intake Scale — level of oral intake"),
    ("PSS-HN reference card", "Performance Status Scale for Head & Neck Cancer"),
    ("MEOF-II / McGill observation sheet", "Mealtime observation; dementia/LD patients"),
    ("Penetration-Aspiration Scale (PAS) card", "Quick reference for instrumental findings"),
    ("SOAP / progress note forms", "Or tablet/clipboard for charting"),
])

left_items += build_section("DOCUMENTATION & ADMIN", [
    ("Referral forms (MBSS / FEES)", "For escalation when silent aspiration suspected"),
    ("Pens & markers", None),
    ("Tablet / device for electronic records", None),
    ("Hand sanitizer", None),
    ("Paper towels & wet wipes", None),
])

# ── RIGHT COLUMN ──────────────────────────────────────────────────────────────
right_items = []

right_items += build_section("FOOD & LIQUID TRIAL SUPPLIES", [
    ("Thickening agent (xanthan gum-based)", "e.g. Resource ThickenUp Clear — IDDSI Levels 1-4"),
    ("Small cups (30 mL & standard)", None),
    ("Teaspoons & tablespoons", None),
    ("Standard & cut straws", "Cut straw = controlled sip volume"),
    ("60 mL syringes", "Bolus delivery for reduced lip closure"),
    ("Puree pouches / soft food samples", "e.g. crackers, soft biscuit, smooth puree"),
    ("Sealed water bottle (plain)", None),
])

right_items += build_section("ORAL MOTOR & THERAPY TOOLS", [
    ("NUK brush / oral stimulation kit", "Sensory & thermal-tactile stimulation"),
    ("Chewy tubes (varied resistance)", "Jaw strengthening exercises"),
    ("Vibrating oral stimulator (Z-Vibe)", "Thermal-tactile application; oral alerting"),
    ("Bite blocks", "Jaw stability training"),
    ("Padded tongue depressors", "Resistance exercises; isometric tongue press"),
    ("Small hand mirror", "Patient biofeedback on lip/mouth movement"),
])

right_items += build_section("SAFETY EQUIPMENT", [
    ("Suction catheter (portable)", "Or confirm location of unit suction on arrival"),
    ("Emesis basin / sick bowl", None),
    ("Spare gloves, masks, apron (x2 sets)", None),
])

right_items += build_section("PATIENT EDUCATION MATERIALS", [
    ("Safe swallowing posture handouts", "Chin tuck, head rotation/tilt, supraglottic swallow"),
    ("IDDSI texture/liquid level guide", "For patient & carer reference"),
    ("Compensatory strategy handout", "Effortful swallow, Mendelsohn, double swallow"),
    ("Carer feeding guidance sheet", "Bite size, pacing, positioning instructions"),
    ("Swallowing anatomy diagram", "Visual aid for patient education"),
])

# Assemble two-column table
left_col  = flowables_to_table_col(left_items,  LEFT_W)
right_col = flowables_to_table_col(right_items, RIGHT_W)

two_col = Table(
    [[left_col, Spacer(GAP, 1), right_col]],
    colWidths=[LEFT_W, GAP, RIGHT_W],
)
two_col.setStyle(TableStyle([
    ("VALIGN",        (0,0),(-1,-1), "TOP"),
    ("LEFTPADDING",   (0,0),(-1,-1), 0),
    ("RIGHTPADDING",  (0,0),(-1,-1), 0),
    ("TOPPADDING",    (0,0),(-1,-1), 0),
    ("BOTTOMPADDING", (0,0),(-1,-1), 0),
]))
story.append(two_col)

# ── Clinical reminder box ──────────────────────────────────────────────────────
story.append(Spacer(1, 3*mm))
reminder_style = ParagraphStyle(
    "Reminder",
    fontName="Helvetica",
    fontSize=8,
    textColor=DARK,
    leading=11,
    leftIndent=4,
)
reminder_bold = ParagraphStyle(
    "ReminderBold",
    fontName="Helvetica-Bold",
    fontSize=8,
    textColor=TEAL,
    leading=11,
    leftIndent=4,
)
reminder_content = Table(
    [[
        Paragraph("CLINICAL NOTE", reminder_bold),
        Paragraph(
            "A bedside CSE is a screening tool only. Silent aspiration cannot be confirmed without instrumental assessment (MBSS or FEES). "
            "Escalate if: O2 sat drops ≥2%, wet/gurgly voice post-swallow, coughing on multiple consistencies, or if any 2 of "
            "the following are present — abnormal voluntary cough, absent gag, dysarthria, dysphonia, post-swallow cough/throat clear/voice change.",
            reminder_style,
        ),
    ]],
    colWidths=[32*mm, None],
)
reminder_content.setStyle(TableStyle([
    ("BACKGROUND",    (0,0),(-1,-1), TEAL_LIGHT),
    ("BOX",           (0,0),(-1,-1), 1, TEAL),
    ("VALIGN",        (0,0),(-1,-1), "TOP"),
    ("TOPPADDING",    (0,0),(-1,-1), 5),
    ("BOTTOMPADDING", (0,0),(-1,-1), 5),
    ("LEFTPADDING",   (0,0),(-1,-1), 6),
    ("RIGHTPADDING",  (0,0),(-1,-1), 6),
]))
story.append(reminder_content)

# ── Footer ─────────────────────────────────────────────────────────────────────
story.append(Spacer(1, 3*mm))
story.append(HRFlowable(width="100%", thickness=0.5, color=TEAL))
story.append(Spacer(1, 1.5*mm))
story.append(Paragraph(
    "Swallowing Therapist Session Preparation Checklist  |  Based on clinical dysphagia practice and Scott-Brown's Otorhinolaryngology (2018)  |  Review annually",
    footer_style,
))

# ── Build ──────────────────────────────────────────────────────────────────────
doc.build(story)
print(f"PDF saved to: {OUTPUT}")

from reportlab.lib.pagesizes import A4
from reportlab.lib import colors
from reportlab.lib.units import mm
from reportlab.lib.styles import ParagraphStyle
from reportlab.platypus import (
    SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle,
    HRFlowable, KeepTogether
)
from reportlab.lib.enums import TA_LEFT, TA_CENTER

OUTPUT = "/home/daytona/workspace/swallowing-therapist/Swallowing_Therapist_Session_Checklist.pdf"

W, H = A4   # 595.28 x 841.89 pts
LM = RM = 14*mm
TM = BM = 14*mm
CONTENT_W = W - LM - RM

doc = SimpleDocTemplate(
    OUTPUT, pagesize=A4,
    leftMargin=LM, rightMargin=RM,
    topMargin=TM, bottomMargin=BM,
)

# ── Colours ───────────────────────────────────────────────────────────────────
TEAL       = colors.HexColor("#1A7A8A")
TEAL_LIGHT = colors.HexColor("#D8EFF2")
DARK       = colors.HexColor("#1C2B35")
MID_GREY   = colors.HexColor("#6B7C85")
ROW_ALT    = colors.HexColor("#F2FAFB")
WHITE      = colors.white

# ── Styles ────────────────────────────────────────────────────────────────────
s_title = ParagraphStyle("title", fontName="Helvetica-Bold",
    fontSize=17, textColor=WHITE, alignment=TA_CENTER, leading=21)
s_sub = ParagraphStyle("sub", fontName="Helvetica",
    fontSize=8.5, textColor=WHITE, alignment=TA_CENTER, leading=12)
s_section = ParagraphStyle("sec", fontName="Helvetica-Bold",
    fontSize=9.5, textColor=WHITE, leading=13, leftIndent=3)
s_item = ParagraphStyle("item", fontName="Helvetica",
    fontSize=8.5, textColor=DARK, leading=12, leftIndent=2)
s_note = ParagraphStyle("note", fontName="Helvetica-Oblique",
    fontSize=7.5, textColor=MID_GREY, leading=10, leftIndent=2)
s_footer = ParagraphStyle("footer", fontName="Helvetica",
    fontSize=7, textColor=MID_GREY, alignment=TA_CENTER)
s_reminder_hd = ParagraphStyle("remhd", fontName="Helvetica-Bold",
    fontSize=8, textColor=TEAL, leading=11)
s_reminder = ParagraphStyle("rem", fontName="Helvetica",
    fontSize=8, textColor=DARK, leading=11)

COL_CHECK  = 7*mm
COL_ITEM   = CONTENT_W * 0.45 - COL_CHECK
COL_NOTE   = CONTENT_W * 0.55

# ── Helpers ───────────────────────────────────────────────────────────────────
def checkbox():
    t = Table([[""]], colWidths=[4.5*mm], rowHeights=[4.5*mm])
    t.setStyle(TableStyle([
        ("BOX",    (0,0),(0,0), 0.8, colors.HexColor("#7AACB5")),
        ("BACKGROUND", (0,0),(0,0), WHITE),
    ]))
    return t

def item_row(text, note="", shade=False):
    bg = ROW_ALT if shade else WHITE
    cells = [
        [checkbox(), Paragraph(text, s_item),
         Paragraph(note or "", s_note)]
    ]
    t = Table(cells, colWidths=[COL_CHECK, COL_ITEM, COL_NOTE])
    t.setStyle(TableStyle([
        ("BACKGROUND",    (0,0),(-1,-1), bg),
        ("VALIGN",        (0,0),(-1,-1), "MIDDLE"),
        ("TOPPADDING",    (0,0),(-1,-1), 2.5),
        ("BOTTOMPADDING", (0,0),(-1,-1), 2.5),
        ("LEFTPADDING",   (0,0),(-1,-1), 2),
        ("RIGHTPADDING",  (0,0),(-1,-1), 3),
    ]))
    return t

def section_hdr(title):
    p = Paragraph(title, s_section)
    t = Table([[p]], colWidths=[CONTENT_W])
    t.setStyle(TableStyle([
        ("BACKGROUND",    (0,0),(0,0), TEAL),
        ("TOPPADDING",    (0,0),(0,0), 4),
        ("BOTTOMPADDING", (0,0),(0,0), 4),
        ("LEFTPADDING",   (0,0),(0,0), 6),
        ("RIGHTPADDING",  (0,0),(0,0), 6),
    ]))
    return t

def build_section(title, rows):
    """Returns a KeepTogether block (section header + all rows)."""
    items = [section_hdr(title)]
    for i, (text, note) in enumerate(rows):
        items.append(item_row(text, note, shade=(i % 2 == 1)))
    items.append(Spacer(1, 2*mm))
    return KeepTogether(items)

# ── Story ─────────────────────────────────────────────────────────────────────
story = []

# Title banner
banner = Table(
    [[Paragraph("SWALLOWING THERAPIST", s_title)],
     [Paragraph("Session Preparation Checklist", s_sub)],
     [Paragraph("Clinical Dysphagia Service  \u2022  Print & tick before each session", s_sub)]],
    colWidths=[CONTENT_W],
)
banner.setStyle(TableStyle([
    ("BACKGROUND",    (0,0),(-1,-1), TEAL),
    ("TOPPADDING",    (0,0),(-1,-1), 7),
    ("BOTTOMPADDING", (0,0),(-1,-1), 7),
    ("LEFTPADDING",   (0,0),(-1,-1), 8),
    ("RIGHTPADDING",  (0,0),(-1,-1), 8),
]))
story.append(banner)
story.append(Spacer(1, 3*mm))

# Session info strip
s_info = ParagraphStyle("info", fontName="Helvetica", fontSize=8.5,
    textColor=DARK, leading=12)
info = Table(
    [[Paragraph("<b>Date:</b> ______________________", s_info),
      Paragraph("<b>Patient / Client:</b> ________________________________", s_info),
      Paragraph("<b>Setting:</b> ___________________", s_info),
      Paragraph("<b>Clinician:</b> _________________", s_info)]],
    colWidths=[CONTENT_W*0.18, CONTENT_W*0.37, CONTENT_W*0.22, CONTENT_W*0.23],
)
info.setStyle(TableStyle([
    ("BACKGROUND",    (0,0),(-1,-1), TEAL_LIGHT),
    ("BOX",           (0,0),(-1,-1), 0.5, TEAL),
    ("TOPPADDING",    (0,0),(-1,-1), 5),
    ("BOTTOMPADDING", (0,0),(-1,-1), 5),
    ("LEFTPADDING",   (0,0),(-1,-1), 6),
    ("RIGHTPADDING",  (0,0),(-1,-1), 4),
    ("VALIGN",        (0,0),(-1,-1), "MIDDLE"),
]))
story.append(info)
story.append(Spacer(1, 3*mm))

# Column header row
hdr_style = ParagraphStyle("hdr", fontName="Helvetica-Bold",
    fontSize=8, textColor=TEAL, leading=11)
col_hdr = Table(
    [["", Paragraph("ITEM", hdr_style), Paragraph("NOTES / CLINICAL REMINDERS", hdr_style)]],
    colWidths=[COL_CHECK, COL_ITEM, COL_NOTE],
)
col_hdr.setStyle(TableStyle([
    ("BOTTOMPADDING", (0,0),(-1,-1), 2),
    ("LEFTPADDING",   (0,0),(-1,-1), 2),
]))
story.append(col_hdr)
story.append(HRFlowable(width="100%", thickness=0.75, color=TEAL))
story.append(Spacer(1, 1.5*mm))

# ── Section 1: Assessment & Screening ────────────────────────────────────────
story.append(build_section("1.  ASSESSMENT & SCREENING TOOLS", [
    ("Pulse oximeter",
     "Monitor SpO2 throughout; drop \u22652% during a trial may indicate aspiration"),
    ("Stethoscope (flat diaphragm)",
     "Cervical auscultation \u2014 flat diaphragm on thyroid cartilage; note subglottic air release & epiglottic movement"),
    ("Penlight / small torch",
     "Oral cavity, dentition & cranial nerve inspection"),
    ("Tongue depressors (x10)",
     "Oral motor / cranial nerve exam; resistance exercises"),
    ("Gauze squares",
     "Tongue protrusion testing; bolus handling assessment"),
    ("Gloves \u2014 nitrile/non-latex (2 pairs)",
     "Required for all oral examination"),
    ("Face mask & apron",
     "Standard PPE; aerosol precautions where indicated"),
    ("Graduated cup (30 mL & standard) + 60 mL syringe",
     "Controlled water swallow test \u2014 30 mL WST predicts pneumonia risk; 100 mL WST measures speed/capacity"),
    ("Stopwatch / timer",
     "WST: record swallowing speed, swallow count & volume per swallow"),
]))

# ── Section 2: Validated Outcome Measures ─────────────────────────────────────
story.append(build_section("2.  VALIDATED OUTCOME MEASURES & DOCUMENTATION", [
    ("EAT-10 form",
     "Patient-reported 10-item dysphagia severity screen; score \u22653 = abnormal"),
    ("GUSS \u2014 Gugging Swallowing Screen",
     "Validated bedside screen; semi-solid first, then liquid"),
    ("MASA form",
     "Mann Assessment of Swallowing Ability \u2014 detailed clinical rating"),
    ("FOIS reference card",
     "Functional Oral Intake Scale (Levels 1\u20137) \u2014 quantifies oral intake status"),
    ("PSS-HN reference card",
     "Performance Status Scale for Head & Neck Cancer"),
    ("MEOF-II / McGill observation sheet",
     "Mealtime observation tool for dementia / learning disability patients"),
    ("Penetration-Aspiration Scale (PAS) card",
     "Quick reference for documenting instrumental findings"),
    ("SOAP note / progress forms (or tablet)",
     "Document findings, recommendations & follow-up plan"),
    ("Referral forms for MBSS / FEES",
     "Escalate when silent aspiration suspected or CSE inconclusive"),
]))

# ── Section 3: Food & Liquid Trials ───────────────────────────────────────────
story.append(build_section("3.  FOOD & LIQUID TRIAL SUPPLIES", [
    ("Thickening agent \u2014 xanthan gum-based",
     "e.g. Resource ThickenUp Clear. Prepare IDDSI Levels 1 (slightly thick) through 4 (extremely thick)"),
    ("Small cups (30 mL & standard size)",
     None),
    ("Teaspoons & tablespoons",
     "Spoon trials before cup sip where aspiration risk is high"),
    ("Standard straws & cut straws",
     "Cut straw limits sip volume for controlled trials"),
    ("60 mL syringes (x2)",
     "Controlled bolus delivery in patients with reduced lip closure"),
    ("Puree pouches / soft food samples",
     "e.g. crackers, soft biscuit, smooth puree \u2014 cover IDDSI texture Levels 3\u20136"),
    ("Sealed still water bottle",
     None),
]))

# ── Section 4: Oral Motor & Therapy ───────────────────────────────────────────
story.append(build_section("4.  ORAL MOTOR & THERAPY TOOLS", [
    ("NUK brush / oral stimulation kit",
     "Sensory and thermal-tactile stimulation"),
    ("Chewy tubes (varied resistance \u2014 2\u20133 grades)",
     "Jaw strengthening; resistance progression"),
    ("Vibrating oral stimulator (e.g. Z-Vibe)",
     "Thermal-tactile application; oral alerting before swallow trials"),
    ("Bite blocks",
     "Jaw stability training and graded jaw opening exercises"),
    ("Small hand mirror",
     "Patient biofeedback on lip seal, facial symmetry & laryngeal movement"),
    ("Padded tongue depressors",
     "Isometric tongue press exercises (Iowa Oral Performance Instrument protocol)"),
]))

# ── Section 5: Safety ─────────────────────────────────────────────────────────
story.append(build_section("5.  SAFETY EQUIPMENT", [
    ("Suction catheter (portable) OR confirm unit suction location on arrival",
     "Know emergency escalation pathway before beginning trials"),
    ("Emesis basin / sick bowl",
     None),
    ("Spare gloves, masks & aprons (x2 sets)",
     None),
    ("Hand sanitizer",
     None),
    ("Paper towels & wet wipes",
     None),
]))

# ── Section 6: Patient Education ──────────────────────────────────────────────
story.append(build_section("6.  PATIENT EDUCATION & CARER MATERIALS", [
    ("Safe swallowing posture handouts",
     "Chin tuck, head rotation/tilt, upright 90\u00b0 positioning, supraglottic swallow technique"),
    ("IDDSI food & liquid level visual guide",
     "Patient and carer reference card for home diet modification"),
    ("Compensatory strategy handout",
     "Effortful swallow, Mendelsohn manoeuvre, double swallow, Masako"),
    ("Carer / feeder guidance sheet",
     "Bite size, pacing, positioning, warning signs to report"),
    ("Swallowing anatomy diagram",
     "Visual aid explaining oral/pharyngeal/oesophageal stages to patient & family"),
]))

# ── Clinical reminder box ─────────────────────────────────────────────────────
story.append(Spacer(1, 2*mm))
reminder = Table(
    [[Paragraph("CLINICAL REMINDER", s_reminder_hd),
      Paragraph(
          "The bedside CSE is a screening tool \u2014 silent aspiration cannot be confirmed without instrumental assessment (MBSS or FEES). "
          "Escalate if: SpO2 drops \u22652%, wet/gurgly voice post-swallow, coughing on multiple consistencies, or any 2 of "
          "the following: abnormal voluntary cough \u2022 absent gag \u2022 dysarthria \u2022 dysphonia \u2022 post-swallow cough/throat-clear/voice change "
          "(sensitivity 92%, specificity 67% for aspiration \u2014 Scott-Brown\u2019s Otorhinolaryngology, 2018).",
          s_reminder,
      )]],
    colWidths=[30*mm, CONTENT_W - 30*mm],
)
reminder.setStyle(TableStyle([
    ("BACKGROUND",    (0,0),(-1,-1), TEAL_LIGHT),
    ("BOX",           (0,0),(-1,-1), 0.8, TEAL),
    ("VALIGN",        (0,0),(-1,-1), "TOP"),
    ("TOPPADDING",    (0,0),(-1,-1), 5),
    ("BOTTOMPADDING", (0,0),(-1,-1), 5),
    ("LEFTPADDING",   (0,0),(-1,-1), 6),
    ("RIGHTPADDING",  (0,0),(-1,-1), 6),
]))
story.append(reminder)

# ── Footer ────────────────────────────────────────────────────────────────────
story.append(Spacer(1, 2.5*mm))
story.append(HRFlowable(width="100%", thickness=0.5, color=TEAL))
story.append(Spacer(1, 1.5*mm))
story.append(Paragraph(
    "Swallowing Therapist Session Preparation Checklist  \u2022  "
    "Based on clinical dysphagia practice & Scott-Brown\u2019s Otorhinolaryngology Head & Neck Surgery (2018)  \u2022  Review annually",
    s_footer,
))

doc.build(story)
print(f"PDF saved: {OUTPUT}")

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/swallowing-therapist/generate_checklist.py'