Describe possible tissue-threat signals without provoking pain or claiming a diagnosis

Reset: Re-read this authored instruction — “Do not press, heat, cool, stretch, exercise or repeat a movement merely to see whether pain returns. Make the immediate situation safe.” — and its success check, then attempt only this step.

1. Possible snag: The area is repeatedly pressed during recording.

   Correction: Stop and write “not retested.”

Stop / get help: Use emergency services for severe or rapidly worsening symptoms, major injury, breathing difficulty, chest pain, confusion, new major weakness, uncontrolled bleeding or other local emergency criteria.

Reset: Re-read this authored instruction — “Record what happened immediately before the experience, if known, using observable language. If no trigger is known, write “no clear event.”” — and its success check, then attempt only this step.

1. Possible snag: A numerical rating is treated as tissue damage.

   Correction: Use the rating to communicate the experience or change, not to infer damage or safety.

Stop / get help: Use emergency services for severe or rapidly worsening symptoms, major injury, breathing difficulty, chest pain, confusion, new major weakness, uncontrolled bleeding or other local emergency criteria.

Reset: Re-read this authored instruction — “Use the person’s own words for location, quality, start time, pattern and current intensity.” — and its success check, then attempt only this step.

1. Possible snag: The result from “Use the person’s own words for location, quality, start time, pattern and current intensity.” does not yet meet this declared check: Location, quality, timing, pattern and the person’s chosen rating or communication method are present.

   Correction: Return to the start of “Record the person’s experience”, reduce complexity or pace, and repeat only the part needed to satisfy: “Location, quality, timing, pattern and the person’s chosen rating or communication method are present.”

Stop / get help: Use emergency services for severe or rapidly worsening symptoms, major injury, breathing difficulty, chest pain, confusion, new major weakness, uncontrolled bleeding or other local emergency criteria.

Reset: Re-read this authored instruction — “Put observed facts, felt sensation, pain report and changed function in separate boxes. Put possible explanations in a fifth box labelled UNCERTAIN.” — and its success check, then attempt only this step.

1. Possible snag: Pain and nociception are written as synonyms.

   Correction: Separate the person’s pain report from the event and any proposed neural mechanism.

2. Possible snag: A possible explanation becomes a declared diagnosis.

   Correction: Move it into the UNCERTAIN box and name what evidence is missing.

Stop / get help: Use emergency services for severe or rapidly worsening symptoms, major injury, breathing difficulty, chest pain, confusion, new major weakness, uncontrolled bleeding or other local emergency criteria.

Reset: Re-read this authored instruction — “For fictional practice, apply the supplied FICTIONAL PRACTICE ROUTING CARD exactly once. For a real symptom, apply the current local official rule. Select EMERGENCY, URGENT, ROUTINE CLINICAL or MONITOR and copy the exact sign that controls the choice.” — and its success check, then attempt only this step.

1. Possible snag: MONITOR is recorded without a review time or escalation sign.

   Correction: Copy both from the applicable routing card before finishing.

Stop / get help: Use emergency services for severe or rapidly worsening symptoms, major injury, breathing difficulty, chest pain, confusion, new major weakness, uncontrolled bleeding or other local emergency criteria.

Reset: Re-read this authored instruction — “Contact the selected real service when the real rule requires it. If the applicable rule permits MONITOR, write what will be observed, when it will be reviewed and which change would trigger escalation.” — and its success check, then attempt only this step.

1. Possible snag: The result from “Contact the selected real service when the real rule requires it. If the applicable rule permits MONITOR, write what will be observed, when it will be reviewed and which change would trigger escalation.” does not yet meet this declared check: The record contains either the contacted service and next action or a timed monitoring and escalation plan.

   Correction: Return to the start of “Route or monitor”, reduce complexity or pace, and repeat only the part needed to satisfy: “The record contains either the contacted service and next action or a timed monitoring and escalation plan.”

Stop / get help: Use emergency services for severe or rapidly worsening symptoms, major injury, breathing difficulty, chest pain, confusion, new major weakness, uncontrolled bleeding or other local emergency criteria.