Diagnosing and Treating Chronic Pain: Are We Doing This Right?

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Date

2021-01

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Abstract

The diagnosis, treatment, and management of chronic pain is complex, nuanced, and challenging in primary care settings. These challenges often give rise to internal provider conflicts around appropriate management strategies, perhaps avoiding diagnosis all together. Factors that contribute to internal provider conflict include knowledge, responsibility, and uncertainties surrounding chronic pain management. This piece acknowledges the complexity and competing priorities of chronic pain management from a provider perspective. We advocate for coordinated and committed care of patients with chronic pain and a sense of shared responsibility among providers to adequately address patient needs.

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Humans, Primary Health Care, Chronic Pain

Citation

Published Version (Please cite this version)

10.1177/21501327211008055

Publication Info

Carnago, Lisa, Amy O'Regan and Jaime M Hughes (2021). Diagnosing and Treating Chronic Pain: Are We Doing This Right?. Journal of primary care & community health, 12. p. 21501327211008055. 10.1177/21501327211008055 Retrieved from https://hdl.handle.net/10161/26741.

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Scholars@Duke

Carnago

Lisa Carnago

Student

Lisa Carnago, FNP-C is a Rheumatology Nurse Practitioner at Duke Health specializing in the management of uveitis through a collaborative, multidisciplinary care model. As a PhD candidate at Duke University(expected graduation 2025), her research focuses on chronic pain management, opioid-related transitions, and improving the quality of care for patients with rheumatic diseases including uveitis. She is particularly interested in team-based models of care to enhance patient outcomes and access to specialized treatments.

Lisa has expertise in qualitative methodology and quality improvement, and measure development with a focus on optimizing opioid prescribing practices and developing best practice recommendations for pain management. She is actively involved in research aimed at optimizing opioid prescribing practices and developing best practice recommendations for pain management. As a researcher leading and contributing to interdisciplinary teams, she integrates perspectives from rheumatology, ophthalmology, and pain management to advance patient-centered care and improve clinical outcomes.

She earned her BSN from East Carolina University in 2007, her MSN from James Madison University in 2016, and is currently pursuing her PhD at Duke University.


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