Multimodal approaches to optimize outcomes of chronic opioid therapy in the management of chronic painKenneth L Kirsh
Behavioral Medicine and the Patient Referral Evaluation Unit, The Pain Treatment Center of the Bluegrass, Lexington, Kentucky 40517 4306, USA
Pain Med 12:S1-11. 2011
..To review clinical strategies for long-term opioid management as well as strategies to assess and monitor patients with moderate to severe chronic pain who may be at risk for aberrant drug-related behaviors...
- Differentiating and managing common psychiatric comorbidities seen in chronic pain patients
Kenneth L Kirsh
Pain Treatment Center of Bluegrass, 2416 Regency Rd, Lexington, KY 40503, USA
J Pain Palliat Care Pharmacother 24:39-47. 2010
..Three common psychiatric issues seen in pain patients: anxiety, depression, and adjustment disorder, are discussed. A brief history of the DSM is also discussed...
Difficulties in screening for adjustment disorder, Part II: An attempt to develop a novel self-report screening instrument in cancer patients undergoing bone marrow transplantationKenneth L Kirsh
Symptom Management and Palliative Care Program, Markey Cancer Center, University of Kentucky, Lexington, Kentucky 40536 0093, USA
Palliat Support Care 2:33-41. 2004
..Bone marrow transplantation (BMT) has a high level of morbidity that can cause significant stress for patients faced with the procedure...
- Initial development of a survey tool to detect issues of chemical coping in chronic pain patients
Kenneth L Kirsh
Pharmacy Practice and Science, University of Kentucky, Lexington, Kentucky 40536 0082, USA
Palliat Support Care 5:219-26. 2007
..We have used the term chemical coping to describe this vast middle ground and seek to begin a line of research starting with the development of a clinically useful tool to identify this subset of patients...
- Managing pain in patients with aberrant drug-taking behaviors
Steven D Passik
Symptom Management and Palliative Care Program, Markey Cancer Center, University of Kentucky, Lexington, Kentucky 40536-0093, USA
J Support Oncol 3:83-6. 2005
- A new tool to assess and document pain outcomes in chronic pain patients receiving opioid therapy
Steven D Passik
Symptom Management and Palliative Care Program, Markey Cancer Center, University of Kentucky, 800 Rose Street, CC449, Lexington, KY 40536 0093, USA
Clin Ther 26:552-61. 2004
..During long-term treatment, this assessment should focus on a broad range of outcomes, each of which should be documented in the medical record...
- Assessing aberrant drug-taking behaviors in the patient with chronic pain
Steven D Passik
Symptom Management and Palliative Care Program, Markey Cancer Center, University of Kentucky, 800 Rose Street, CC125, Lexington, KY 40536 0093, USA
Curr Pain Headache Rep 8:289-94. 2004
..The assessment of aberrant behaviors in patients with chronic pain is one key aspect of mastering these principles...
- The need to identify predictors of aberrant drug-related behavior and addiction in patients being treated with opioids for pain
Steven D Passik
Markey Cancer Center, University of Kentucky, Lexington, Kentucky, USA
Pain Med 4:186-9. 2003
- Pain clinicians' rankings of aberrant drug-taking behaviors
Steven D Passik
Chandler Medical College, and Marky Cancer Center, University of Kentucky, Lexington, KY 40536 0093, USA
J Pain Palliat Care Pharmacother 16:39-49. 2002
..Further inquiry could be used to guide clinicians' responses to aberrant behaviors when encountered in patients on controlled substances for pain...
- Development and implementation of a palliative care consultation tool
Alexei Trout
St Joseph s Hospital, Continuing Care Hospital, Lexington, Kentucky 40503, USA
Palliat Support Care 10:171-5. 2012
..However, there has been little systematic attempt to identify when a palliative care consultation should be triggered in a hospital, and there is some evidence that these services are under-utilized and not fully understood...
- Opioid therapy in patients with a history of substance abuse
Steven D Passik
Symptom Management and Palliative Care Program, University of Kentucky College of Medicine, Lexington, Kentucky 40536 0093, USA
CNS Drugs 18:13-25. 2004
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- Issues and critiques of the forthcoming risk evaluation and mitigation strategy (REMS) for opioids in pain management
John F Peppin
Clinical Research Division, The Pain Treatment Center of the Bluegrass, Lexington, Kentucky, USA
Issues Law Med 27:91-119. 2011
..A critique of these current REMS efforts and recommendations for the future will also be provided...
- Defining clinical issues around tolerance, hyperalgesia, and addiction: a quantitative and qualitative outcome study of long-term opioid dosing in a chronic pain practice
Jennifer P Schneider
The Pain Treatment Center of the Bluegrass, Lexington, Kentucky, USA
J Opioid Manag 6:385-95. 2010
..Thus, it appears that tolerance and hyperalgesia are not foregone conclusions when considering placing a patient on long-term opioid therapy...
- Disease management tools for chronic pain
Kenneth L Kirsh
Department of Pharmacy Practice and Science, University of Kentucky, Lexington, USA
Manag Care 16:10-5. 2007
- Brief report: pain and readiness to quit smoking cigarettes
Ellen J Hahn
University of Kentucky College of Nursing, Lexington, KY 40536 0232, USA
Nicotine Tob Res 8:473-80. 2006
..Placing formal tobacco dependence treatment programs within pain clinics and addressing pain in smoking cessation programs is recommended...
- Palliative care of the terminally ill drug addict
Kenneth L Kirsh
Pharmacy Practice and Science, University of Kentucky, Lexington, Kentucky 40536 0082, USA
Cancer Invest 24:425-31. 2006
..Implications for the field are discussed...
- Patient-related barriers to fatigue communication: initial validation of the fatigue management barriers questionnaire
Steven D Passik
Symptom Management and Palliative Care Program, Markey Cancer Center, University of Kentucky, Lexington, KY 40536, USA
J Pain Symptom Manage 24:481-93. 2002
..Multiple barriers contribute to why cancer patients do not comment about fatigue but may be overcome if physicians screen and assess for this symptom...
- An unsuccessful attempt to develop a single-item screen for insomnia in cancer patients
Steven D Passik
Symptom Management and Palliative Care Program, Markey Cancer Center, University of Kentucky, Lexington, KY, USA
J Pain Symptom Manage 25:284-7. 2003
..The use of this single item, or perhaps any single item, as a means of screening for sleep disturbances in cancer patients may be problematic. A better understanding of insomnia and its measurement are worthwhile areas of study...
- A retrospective chart review of the use of olanzapine for the prevention of delayed emesis in cancer patients
Steven D Passik
Symptom Management and Palliative Care Program, Markey Cancer Center, University of Kentucky, Lexington, KY 40536-0093, USA
J Pain Symptom Manage 25:485-8. 2003
..These data suggest that olanzapine was well tolerated and may reduce the incidence of delayed emesis in patients receiving moderate to highly emetogenic chemotherapy. A series of prospective trials are underway...
- Difficulties in screening for adjustment disorder, Part I: Use of existing screening instruments in cancer patients undergoing bone marrow transplantation
Kenneth L Kirsh
Symptom Management and Palliative Care Program, Markey Cancer Center, University of Kentucky, Lexington, Kentucky 40536 0093, USA
Palliat Support Care 2:23-31. 2004
..This is especially true with regard to identifying adjustment disorder (AD), despite the fact that AD is the most prevalent psychiatric diagnosis in cancer patients...
- A feasibility study of dignity psychotherapy delivered via telemedicine
Steven D Passik
Symptom Management and Palliative Care Program, Markey Cancer Center, University of Kentucky, Lexington, Kentucky 40536 0093, USA
Palliat Support Care 2:149-55. 2004
..We delivered the Dignity Psychotherapy intervention in a feasibility study of a series of eight cancer patients via videophone technology to deliver the therapy into their homes...
- Hospice staff members' views on conducting end-of-life research
Kenneth L Kirsh
Symptom Management and Palliative Care Program, Markey Cancer Center, University of Kentucky, 800 Rose Street, CC129, Lexington, KY 40536 0093, USA
Palliat Support Care 2:273-82. 2004
..This survey study was designed to examine hospice staff attitudes, beliefs, and values about research with their patients and family members...
- Special issues and concerns in the evaluation of older adults who have pain
Kenneth L Kirsh
Pharmacy Practice and Science, University of Kentucky, 725 Rose Street, 201B, Lexington, KY 40536 0082, USA
Clin Geriatr Med 24:263-74, vi. 2008
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- An exploration of the utility of hypnosis in pain management among rural pain patients
Thomas Thornberry
The Pain Treatment Center of the Bluegrass, Lexington, Kentucky, USA
Palliat Support Care 5:147-52. 2007
..However, it has fallen into disfavor in recent years and is often perceived by physicians as simple charlatanism. We evaluated the efficacy of this treatment as used clinically in a large, mostly rural, pain management center...
- Abuse and addiction issues in medically ill patients with pain: attempts at clarification of terms and empirical study
Kenneth L Kirsh
Symptom Management and Palliative Care Program, Markey Cancer Center, University of Kentucky, Lexington, Kentucky 40536-0093, USA
Clin J Pain 18:S52-60. 2002
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