15.2.263. server/camcops_server/extra_strings/ciwa.xml

<?xml version="1.0" encoding="UTF-8"?>
  <task name="ciwa">
    <!-- Clinical Institute Withdrawal Assessment for Alcohol Scale, Revised (CIWA-Ar) -->

    <string name="q1_title">CIWA: 1. Nausea and vomiting</string>
    <string name="q1_s">Q1 (nausea/vomiting):</string>
    <string name="q1_question">Ask “Do you feel sick to your stomach? Have you vomited?” Observation.</string>
    <string name="q1_option0">0 no nausea and no vomiting</string>
    <string name="q1_option1">1 mild nausea with no vomiting</string>
    <string name="q1_option2">2</string>
    <string name="q1_option3">3</string>
    <string name="q1_option4">4 intermittent nausea with dry heaves</string>
    <string name="q1_option5">5</string>
    <string name="q1_option6">6</string>
    <string name="q1_option7">7 constant nausea, frequent dry heaves and vomiting</string>
    <string name="q2_title">CIWA: 2. Tremor</string>
    <string name="q2_s">Q2 (tremor):</string>
    <string name="q2_question">Arms extended and fingers spread apart. Observation.</string>
    <string name="q2_option0">0 no tremor</string>
    <string name="q2_option1">1 not visible, but can be felt fingertip to fingertip</string>
    <string name="q2_option2">2</string>
    <string name="q2_option3">3</string>
    <string name="q2_option4">4 moderate, with patient’s arms extended</string>
    <string name="q2_option5">5</string>
    <string name="q2_option6">6</string>
    <string name="q2_option7">7 severe, even with arms not extended</string>
    <string name="q3_title">CIWA: 3. Paroxysmal sweats</string>
    <string name="q3_s">Q3 (paroxysmal sweats):</string>
    <string name="q3_question">Observation:</string>
    <string name="q3_option0">0 no sweat visible</string>
    <string name="q3_option1">1 barely perceptible sweating, palms moist</string>
    <string name="q3_option2">2</string>
    <string name="q3_option3">3</string>
    <string name="q3_option4">4 beads of sweat obvious on forehead</string>
    <string name="q3_option5">5</string>
    <string name="q3_option6">6</string>
    <string name="q3_option7">7 drenching sweats</string>
    <string name="q4_title">CIWA: 4. Anxiety</string>
    <string name="q4_s">Q4 (anxiety):</string>
    <string name="q4_question">Ask “Do you feel nervous?” Observation.</string>
    <string name="q4_option0">0 no anxiety, at ease</string>
    <string name="q4_option1">1 mild anxious</string>
    <string name="q4_option2">2</string>
    <string name="q4_option3">3</string>
    <string name="q4_option4">4 moderately anxious, or guarded, so anxiety is inferred</string>
    <string name="q4_option5">5</string>
    <string name="q4_option6">6</string>
    <string name="q4_option7">7 equivalent to acute panic states as seen in severe delirium or acute schizophrenic reactions</string>
    <string name="q5_title">CIWA: 5. Agitation</string>
    <string name="q5_s">Q5 (agitation):</string>
    <string name="q5_question">Observation:</string>
    <string name="q5_option0">0 normal activity</string>
    <string name="q5_option1">1 somewhat more than normal activity</string>
    <string name="q5_option2">2</string>
    <string name="q5_option3">3</string>
    <string name="q5_option4">4 moderately fidgety and restless</string>
    <string name="q5_option5">5</string>
    <string name="q5_option6">6</string>
    <string name="q5_option7">7 paces back and forth during most of the interview, or constantly thrashes about</string>
    <string name="q6_title">CIWA: 6. Tactile disturbances</string>
    <string name="q6_s">Q6 (tactile disturbances):</string>
    <string name="q6_question">Ask “Have you any itching, pins and needles sensations, any burning, any numbness, or do you feel bugs crawling on or under your skin?” Observation.</string>
    <string name="q6_option0">0 none</string>
    <string name="q6_option1">1 very mild itching, pins and needles, burning or numbness</string>
    <string name="q6_option2">2 mild itching, pins and needles, burning or numbness</string>
    <string name="q6_option3">3 moderate itching, pins and needles, burning or numbness</string>
    <string name="q6_option4">4 moderately severe hallucinations</string>
    <string name="q6_option5">5 severe hallucinations</string>
    <string name="q6_option6">6 extremely severe hallucinations</string>
    <string name="q6_option7">7 continuous hallucinations</string>
    <string name="q7_title">CIWA: 7. Auditory disturbances</string>
    <string name="q7_s">Q7 (auditory disturbances):</string>
    <string name="q7_question">Ask “Are you more aware of sounds around you? Are they harsh? Do they frighten you? Are you hearing anything that is disturbing to you? Are you hearing things you know are not there?” Observation.</string>
    <string name="q7_option0">0 not present</string>
    <string name="q7_option1">1 very mild harshness or ability to frighten</string>
    <string name="q7_option2">2 mild harshness or ability to frighten</string>
    <string name="q7_option3">3 moderate harshness or ability to frighten</string>
    <string name="q7_option4">4 moderately severe hallucinations</string>
    <string name="q7_option5">5 severe hallucinations</string>
    <string name="q7_option6">6 extremely severe hallucinations</string>
    <string name="q7_option7">7 continuous hallucinations</string>
    <string name="q8_title">CIWA: 8. Visual disturbances</string>
    <string name="q8_s">Q8 (visual disturbances):</string>
    <string name="q8_question">Ask “Does the light appear to be too bright? Is its color different? Does it hurt your eyes? Are you seeing anything that is disturbing to you? Are you seeing things you know are not there?” Observation.</string>
    <string name="q8_option0">0 not present</string>
    <string name="q8_option1">1 very mild sensitivity</string>
    <string name="q8_option2">2 mild sensitivity</string>
    <string name="q8_option3">3 moderate sensitivity</string>
    <string name="q8_option4">4 moderately severe hallucinations</string>
    <string name="q8_option5">5 severe hallucinations</string>
    <string name="q8_option6">6 extremely severe hallucinations</string>
    <string name="q8_option7">7 continuous hallucinations</string>
    <string name="q9_title">CIWA: 9. Headache, fullness in head</string>
    <string name="q9_s">Q9 (headache/fullness in head):</string>
    <string name="q9_question">Ask “Does your head feel different? Does it feel like there is a band around your head?”\nDo not rate for dizziness or lightheadedness. Otherwise, rate severity.</string>
    <string name="q9_option0">0 not present</string>
    <string name="q9_option1">1 very mild</string>
    <string name="q9_option2">2 mild</string>
    <string name="q9_option3">3 moderate</string>
    <string name="q9_option4">4 moderately severe</string>
    <string name="q9_option5">5 severe</string>
    <string name="q9_option6">6 very severe</string>
    <string name="q9_option7">7 extremely severe</string>
    <string name="q10_title">CIWA: 10. Orientation and clouding of sensorium</string>
    <string name="q10_s">Q10 (orientation/clouding of sensorium):</string>
    <string name="q10_question">Ask “What day is this? Where are you? Who am I?”</string>
    <string name="q10_option0">0 oriented and can do serial additions</string>
    <string name="q10_option1">1 cannot do serial additions or is uncertain about dat</string>
    <string name="q10_option2">2 disoriented for date by no more than 2 calendar days</string>
    <string name="q10_option3">3 disoriented for date by more than 2 calendar days</string>
    <string name="q10_option4">4 disoriented for place/or person</string>
    <string name="vitals_title">CIWA: Extra – vital signs</string>
    <string name="vitals_question">(Optional) Enter vital signs:</string>
    <string name="t">Temperature (°C)</string>
    <string name="hr">Heart rate (bpm)</string>
    <string name="sbp">Systolic blood pressure (mmHg)</string>
    <string name="dbp">Diastolic blood pressure (mmHg)</string>
    <string name="bp">Blood pressure (mmHg)</string>
    <string name="rr">Respiratory rate (breaths/min)</string>
    <string name="severity">Likely severity:</string>
    <string name="category_mild">minimal to mild withdrawal</string>
    <string name="category_moderate">moderate withdrawal</string>
    <string name="category_severe">severe withdrawal</string>