module.exports = [
  {
    id: 1,
    title: "Emergency Response",
    lesson: `<h2>Emergency Response</h2>
<p>When caring for an individual, knowing when and how to respond to an emergency can save a life. Always call 911 immediately if the individual:</p>
<ul>
  <li>Falls</li>
  <li>Complains of chest pain</li>
  <li>Is choking</li>
  <li>Loses consciousness</li>
  <li>Has trouble breathing</li>
</ul>
<p><strong>Do NOT</strong> call 911 just because they complain about a family member — that is not a medical emergency.</p>

<h3>When an Emergency Happens:</h3>
<ul>
  <li>Do NOT transport the individual in your own car</li>
  <li>Do NOT lift someone after a fall — wait for EMS</li>
  <li>Immediately call your supervisor AND the care manager (speak to a live person — no voicemail)</li>
  <li>Never let anyone smoke near oxygen</li>
  <li>Know all accessible exits in case of fire</li>
  <li>Encourage use of walkers and canes to prevent falls</li>
  <li>Clear pathways of furniture and clutter</li>
  <li>Keep lights bright when the individual is walking</li>
  <li>Never let an individual try to get up alone after a fall</li>
  <li>Always report falls — even when the individual seems okay</li>
  <li>If the individual has dementia or Alzheimer's, stay with them in the emergency room (clear with your agency first)</li>
</ul>`,
    questions: [
      { text: "You should call 911 if the individual is choking.", answer: true },
      { text: "You should drive the individual to the hospital yourself in an emergency.", answer: false },
      { text: "You should report all falls to your supervisor, even if the individual seems okay.", answer: true },
      { text: "You can let the individual navigate around furniture and clutter to get to the bathroom.", answer: false },
      { text: "You should immediately report emergencies to your supervisor AND care manager by speaking to a live person.", answer: true }
    ]
  },
  {
    id: 2,
    title: "Universal Precautions",
    lesson: `<h2>Universal Precautions</h2>
<p>Universal Precautions means protecting yourself and the individual from infection at all times.</p>

<h3>When to Wear Gloves:</h3>
<p>Always wear gloves when:</p>
<ul>
  <li>Touching urine or stool</li>
  <li>Assisting with toileting</li>
  <li>Handling laundry</li>
  <li>Taking out garbage</li>
</ul>
<p><strong>Note:</strong> You do NOT need gloves just because it's cold outside.</p>

<h3>Hand Washing:</h3>
<p>Always wash your hands:</p>
<ul>
  <li>After changing a Depends</li>
  <li>After toileting the individual</li>
  <li>After taking out garbage</li>
  <li>After cleaning and disinfecting surfaces</li>
</ul>
<p><strong>Note:</strong> You do NOT need to wash your hands after using your cell phone (though it's good practice, it's not required by care standards).</p>`,
    questions: [
      { text: "You should wear gloves when handling laundry.", answer: true },
      { text: "You should wear gloves because it's cold outside.", answer: false },
      { text: "You should wash your hands after changing the individual's Depends.", answer: true },
      { text: "You should wash your hands after using your cell phone.", answer: false },
      { text: "You should wash your hands after taking out the garbage.", answer: true }
    ]
  },
  {
    id: 3,
    title: "Communication",
    lesson: `<h2>Communication</h2>
<p>Good communication is one of the most important skills for a PCA.</p>

<h3>Key Principles:</h3>
<ul>
  <li>Always let the individual tell you what they need or want — focus on them, not yourself</li>
  <li>Do not share your personal life story or problems</li>
  <li>Ask questions if you don't understand</li>
  <li>Pay attention to body language: facial expressions, tone of voice, and posture all tell you a lot</li>
  <li>Never spend time on your cell phone while working</li>
</ul>

<h3>For Individuals with Dementia or Alzheimer's:</h3>
<ul>
  <li>Keep your words short and simple — long explanations can be confusing</li>
  <li>If they cannot speak, watch for non-verbal cues and try to communicate through smiles and calm presence</li>
  <li>Never interrupt or rush the individual</li>
  <li>Do not share your opinions about politics or religion</li>
</ul>

<h3>Important:</h3>
<p>If you notice a change in how the individual moves, uses gestures, or shows pain on their face — contact your supervisor and the care manager immediately. That's a form of communication too.</p>`,
    questions: [
      { text: "You should allow the individual to tell you what they need or want.", answer: true },
      { text: "You should spend time on your cell phone while caring for the individual.", answer: false },
      { text: "With individuals who have dementia, you should avoid long explanations because they may be confusing.", answer: true },
      { text: "You should interrupt the individual if they are talking too long.", answer: false },
      { text: "You should let the individual know your opinions about politics and religion.", answer: false }
    ]
  },
  {
    id: 4,
    title: "Monitoring Condition Changes",
    lesson: `<h2>Monitoring Condition Changes</h2>
<p>Noticing and reporting changes in an individual's condition is one of your most important responsibilities.</p>

<h3>When You See a Change:</h3>
<p>Report it IMMEDIATELY to your supervisor AND the care manager — do not leave a voicemail, speak to a live person.</p>

<h3>Always Report Immediately:</h3>
<ul>
  <li>Red spots or skin changes</li>
  <li>Sudden appetite changes</li>
  <li>Urinary problems (difficulty, constipation, frequent diarrhea)</li>
  <li>Behavioral changes like yelling or anger</li>
  <li>Sleeping much more than usual</li>
  <li>Any other change that concerns you</li>
</ul>

<h3>Critical Practices:</h3>
<ul>
  <li>Never "wait and see" — that can put the individual at serious risk</li>
  <li>Reposition individuals who cannot move on their own every two hours to prevent pressure sores</li>
  <li>Make sure they drink enough fluids (unless the care plan restricts fluids)</li>
  <li>Remember: older people's skin tears very easily, so always protect them from bumps and scrapes</li>
</ul>`,
    questions: [
      { text: "If you see red spots on the individual's skin, you should report it immediately.", answer: true },
      { text: "You can wait to report a change in the individual's condition to see if it gets better on its own.", answer: false },
      { text: "Individuals who cannot reposition themselves should be moved every two hours.", answer: true },
      { text: "It is important for an individual to drink enough fluids to prevent dehydration unless restricted by their care plan.", answer: true },
      { text: "Older people's skin tears easily so you should protect them from bumps and scrapes.", answer: true }
    ]
  },
  {
    id: 5,
    title: "Positioning",
    lesson: `<h2>Positioning</h2>
<p>Proper positioning keeps individuals comfortable, prevents injuries, and stops dangerous conditions like bed sores (pressure ulcers) from developing.</p>

<h3>Why Positioning Matters:</h3>
<ul>
  <li>Relieves pressure on body parts</li>
  <li>Improves comfort</li>
  <li>Prevents health problems from prolonged bed rest</li>
  <li>Prevents bed sores</li>
</ul>
<p><strong>Note:</strong> It is NOT done just to help someone see the TV.</p>

<h3>How to Position Correctly:</h3>
<ul>
  <li>Have all equipment ready before you start</li>
  <li>Make sure the individual is safe and comfortable</li>
  <li>Do NOT pull them across the bed — this can cause skin tears</li>
  <li>Reposition every two hours UNLESS the individual is sleeping</li>
  <li>Take note of any redness or irritation on the skin and report it</li>
  <li>If the individual is too heavy, always get assistance — never try alone</li>
</ul>`,
    questions: [
      { text: "Proper positioning helps prevent bed sores.", answer: true },
      { text: "You should pull the individual across the bed to reposition them.", answer: false },
      { text: "You should reposition the individual every two hours unless they are sleeping.", answer: true },
      { text: "You should get assistance if the individual is too heavy to move alone.", answer: true },
      { text: "Proper positioning is done mainly to help the individual see the television.", answer: false }
    ]
  },
  {
    id: 6,
    title: "Safe Lifting",
    lesson: `<h2>Safe Lifting</h2>
<p>Safe lifting protects both you and the individual.</p>

<h3>What NOT to Do:</h3>
<p><strong>Never</strong> bend over and grab someone under the arms to lift — this injures your back and can hurt the individual.</p>

<h3>Correct Technique:</h3>
<ul>
  <li>Stand close to the individual</li>
  <li>Use as many muscle groups as possible</li>
  <li>Squat and stand to lift</li>
  <li>Keep your back straight, knees and hips bent, weight on both feet</li>
  <li>Coordinate your movements with the individual's movements</li>
  <li>Do NOT twist your body to change direction</li>
  <li>Do NOT lift someone who is too heavy for you alone — get help</li>
  <li>If a Hoyer lift is needed, get proper training — do NOT figure it out on your own</li>
  <li>Hold the individual close to your body — not 12 inches away (that would strain your back)</li>
</ul>`,
    questions: [
      { text: "You should squat and stand to lift a heavy individual.", answer: true },
      { text: "You should bend over and grab the individual under the arms to lift them.", answer: false },
      { text: "You should get assistance if the individual is too heavy for you to lift alone.", answer: true },
      { text: "You should figure out how to use a Hoyer lift on your own.", answer: false },
      { text: "You should keep your back straight with knees and hips bent when lifting.", answer: true }
    ]
  },
  {
    id: 7,
    title: "Safe Transfers",
    lesson: `<h2>Safe Transfers</h2>
<p>A transfer means moving an individual from one surface to another — from bed to wheelchair, wheelchair to toilet, etc. Safety is critical.</p>

<h3>Key Rules:</h3>
<ul>
  <li>The individual should always wear shoes or slippers for stability</li>
  <li>The wheelchair must be positioned correctly — not just locked in the wrong spot</li>
  <li>Place the commode next to the bed for easier transfers</li>
  <li>When toileting, assist the individual to stand, help them manage their clothing, and safely place them on the toilet</li>
  <li><strong>ALWAYS stay with the individual during a transfer</strong> — never allow them to transfer alone, even if they seem steady</li>
  <li>Falls can happen in an instant</li>
</ul>`,
    questions: [
      { text: "The individual should be wearing shoes or slippers during a transfer.", answer: true },
      { text: "The position of the wheelchair doesn't matter as long as the wheels are locked.", answer: false },
      { text: "The commode should be placed next to the bed to make transfers easier.", answer: true },
      { text: "If the individual appears to be steady, you can allow them to transfer themselves.", answer: false },
      { text: "When toileting, you should assist the individual to a standing position and safely place them on the toilet.", answer: true }
    ]
  },
  {
    id: 8,
    title: "Medication Safety",
    lesson: `<h2>Medication Safety</h2>
<p>As a PCA, your role with medication is very limited — and that's to protect the individual's safety.</p>

<h3>What a PCA CAN Do:</h3>
<ul>
  <li>Help the individual open their pill bottle</li>
  <li>Remind the individual to take their medication as prescribed</li>
  <li>If the med box is dropped — STOP, do NOT give the medication, contact your supervisor immediately</li>
</ul>

<h3>What a PCA CANNOT Do:</h3>
<ul>
  <li>Take pills out of containers and give them to the individual</li>
  <li>Give injections</li>
  <li>Crush medication and put it in food without direction</li>
  <li>Give medication that fell on the floor</li>
  <li>Give any over-the-counter medicine from a store</li>
  <li>Take any of the individual's medication</li>
  <li>Give medication that looks different or wrong — notify your supervisor BEFORE giving it</li>
</ul>`,
    questions: [
      { text: "A PCA may assist the individual with opening their pill bottle and remind them to take their medication.", answer: true },
      { text: "A PCA may give the individual medication even if the pills have fallen on the floor.", answer: false },
      { text: "A PCA may never give the individual injections.", answer: true },
      { text: "If the medications look different or wrong, you should notify your supervisor before giving them.", answer: true },
      { text: "A PCA may give over-the-counter medicine from the store to the individual.", answer: false }
    ]
  },
  {
    id: 9,
    title: "Professional Boundaries",
    lesson: `<h2>Professional Boundaries</h2>
<p>As a PCA, you are a professional employee. Maintaining proper boundaries protects both you and the individual.</p>

<h3>You should NOT:</h3>
<ul>
  <li>Exchange gifts on holidays or birthdays</li>
  <li>Use the individual's debit card to also buy items for yourself</li>
  <li>Allow friends to come to the individual's home</li>
  <li>Share your personal problems with the individual</li>
  <li>Bring your children to work</li>
  <li>Have your partner take you to the individual's home (only you should enter)</li>
  <li>Visit the individual in a nursing home while off duty</li>
  <li>Friend the individual on social media or post photos or comments about them</li>
</ul>

<h3>You SHOULD:</h3>
<ul>
  <li>Always get a receipt when spending the individual's money</li>
  <li>Remember you are an employee in their home — act professionally at all times</li>
</ul>`,
    questions: [
      { text: "You should always get a receipt when using the individual's money to buy things.", answer: true },
      { text: "You and the individual can exchange gifts for holidays and birthdays.", answer: false },
      { text: "You are an employee in the individual's home and should act professionally.", answer: true },
      { text: "It is okay to bring your children to work if you cannot find a babysitter.", answer: false },
      { text: "You should never post pictures or comments about the individual on social media.", answer: true }
    ]
  },
  {
    id: 10,
    title: "Brain Injury, Dementia & Behavior",
    lesson: `<h2>Brain Injury, Dementia & Behavior</h2>
<p>Individuals with an acquired brain injury (ABI) may not understand what you say, may struggle to express themselves, and may not be able to concentrate well. They may also have memory issues. Be patient and use simple, clear communication.</p>

<h3>When an Individual with ABI Becomes Angry:</h3>
<ul>
  <li>Remain calm and speak softly</li>
  <li>Do NOT tell them to calm down and stop talking</li>
  <li>Do NOT move fast or stand too close</li>
  <li>Do NOT threaten negative consequences</li>
  <li>Do NOT corner them or limit their movement</li>
</ul>

<h3>Individuals with Dementia or Alzheimer's:</h3>
<ul>
  <li>Often become agitated for a reason — figure out the cause</li>
  <li>Try to help before they get upset</li>
  <li>Avoid overstimulation — do NOT bring lots of people over or play loud music</li>
  <li>If a new individual seems upset when you first meet, understand it's not personal — they are disoriented, not just "grouchy"</li>
  <li>They may not be able to tell you they are uncomfortable (wet Depends, need bathroom) — watch for signs</li>
</ul>`,
    questions: [
      { text: "An individual with an acquired brain injury might not understand what you say.", answer: true },
      { text: "When an individual becomes angry, you should remain calm and speak softly.", answer: true },
      { text: "When an individual becomes angry, you should threaten them with negative consequences to get them to calm down.", answer: false },
      { text: "You should try to figure out the reason an individual is angry and help before they get upset.", answer: true },
      { text: "To cheer up a lonely individual with dementia, you should bring a lot of people over and play loud music.", answer: false }
    ]
  },
  {
    id: 11,
    title: "Reporting Abuse & Neglect",
    lesson: `<h2>Reporting Abuse & Neglect</h2>
<p><strong>You are legally required to report abuse, neglect, exploitation, and abandonment of individuals aged 65 and older to Protective Services for the Elderly.</strong> This is not optional.</p>

<h3>Contact your supervisor and care manager IMMEDIATELY if you see or suspect abuse — do not wait.</h3>

<h3>Examples:</h3>
<ul>
  <li><strong>Abandonment:</strong> Discovering no one has been with the individual since the previous evening (always report this, even if they seem fine)</li>
  <li><strong>Exploitation:</strong> A family member using the individual's bank account, EBT card, or credit card for their own purchases</li>
  <li><strong>Abuse:</strong> Someone yelling, threatening, or shoving the individual</li>
</ul>

<h3>Remember:</h3>
<p>Do not dismiss concerning situations as "not that serious" — when in doubt, report.</p>`,
    questions: [
      { text: "You are legally required to report abuse and neglect of individuals 65 and older to Protective Services for the Elderly.", answer: true },
      { text: "You should contact your supervisor immediately if you see or suspect abuse.", answer: true },
      { text: "If no one was with the individual overnight but they seem fine, there is no need to report it.", answer: false },
      { text: "A relative using an individual's bank account and credit card for their own purchases is an example of exploitation, not neglect.", answer: true },
      { text: "A neighbor yelling and threatening to hit the individual is an example of abuse.", answer: true }
    ]
  },
  {
    id: 12,
    title: "Personal Care - Bathing, Hair & Mouth Care",
    lesson: `<h2>Personal Care - Bathing, Hair & Mouth Care</h2>
<p>Personal care requires skill, dignity, and attention to safety.</p>

<h3>Bathing:</h3>
<ul>
  <li>Never leave the individual alone in the bathtub or shower — not even for a moment</li>
  <li>Always check water temperature first</li>
  <li>Wash genital area from front to back (not back to front)</li>
  <li>Never cut fingernails or toenails</li>
  <li>Report any sores or redness</li>
</ul>

<h3>For Individuals with Dementia:</h3>
<ul>
  <li>Keep bath time consistent (same time each day helps, different times increase confusion)</li>
  <li>Many dislike bathing because they fear cold water or disorientation — not because they want to be difficult</li>
  <li>Don't argue — stay calm, use a soothing voice, talk about something positive</li>
  <li>Tell them what you're doing step by step to keep them calm</li>
</ul>

<h3>Bed Bath:</h3>
<ul>
  <li>Always check the water temperature — even basin water cools</li>
  <li>Make sure the individual cannot fall out of bed</li>
  <li>Wash from cleanest to least clean areas (face first, genital area last)</li>
  <li>Wash soap off completely</li>
  <li>Report any sores or redness to your supervisor</li>
</ul>

<h3>Washing Hair:</h3>
<ul>
  <li>Ask first — let the individual wash their own hair if able</li>
  <li>You must report concerns like excessive redness, dandruff, or lice to your supervisor</li>
  <li>Face the individual away from direct water</li>
  <li>Never leave someone in the shower alone even if they seem steady</li>
</ul>

<h3>Mouth Care:</h3>
<ul>
  <li>Wear gloves</li>
  <li>Do not brush too hard</li>
  <li>Brush from top to bottom (moves plaque away from gums)</li>
  <li>Report any redness, bleeding, or sores</li>
  <li>For dementia patients: smile and ask permission, don't say their teeth are "dirty," talk about the benefits of brushing, try again later if they refuse</li>
</ul>

<h3>Dressing:</h3>
<ul>
  <li>Wash your hands first</li>
  <li>Set out a small selection of simple choices — not a large variety (too overwhelming)</li>
  <li>Never push or pull clothing forcefully</li>
  <li>Watch for dizziness or fatigue</li>
  <li>Use elastic or Velcro clothing when possible</li>
</ul>`,
    questions: [
      { text: "You should always check the water temperature before the individual gets in the bath or shower.", answer: true },
      { text: "It is okay to leave the individual alone in the shower briefly if they seem steady.", answer: false },
      { text: "You should wash the genital area from front to back.", answer: true },
      { text: "For individuals with dementia, you should keep bath time at the same time each day for consistency.", answer: true },
      { text: "You should wash your hands before helping the individual get dressed.", answer: true }
    ]
  }
];
