COP.9.b: HAR patient har visit par pain ke liye screen — simple yes/no bhi chalega, par documented hona chahiye. YES par intensity 0-10 NRS (adults) ya Wong-Baker faces (children) vitals panel me. ≥7/10 → triage YELLOW upgrade, doctor pehle dekhe. Detailed assessment (COP.9.c) jab pain predominant symptom ho (dental pain, trigeminal neuralgia, TMJ) aur HAR post-op patient ke liye: intensity, character (sharp/dull/throbbing/burning), onset, duration, frequency, location (tooth-numbered), referral/radiation, aggravating/relieving factors, current analgesic + response — ORALZY pain proforma me sab fields hain. Pain ladder (COP.9.a): Step 1 Paracetamol 500-1000mg 6-hourly (1-1-1-1) → Step 2 NSAID (Ibuprofen 400mg 8-hourly (1-1-1) / Diclofenac 50mg 12-hourly (1-0-1)) → Step 3 combination + Tramadol 50mg 8-hourly (1-1-1) short course. Pulpal pain: same-visit definitive endo/extraction jab possible. Reassessment: har visit par + surgical ke baad 48h WhatsApp check. Persistent ≥4/10 after 7 days → specialist/higher-centre refer.
READY
pain scales poster (NRS + Wong-Baker, A4) reception par, vitals me pain entries ke examples, 48-72h follow-up records. Assessor reception staff se screening question aur scale poochta hai.