A Field Manual for Palliative Care in Humanitarian Crises

Elisha Waldman, MD, FAAHPM, spent a significant portion of his career practicing both pediatric oncology and palliative care in Jerusalem, and has worked with refugee populations in the Middle East and elsewhere. Dr Waldman is active in the American Academy of Hospice and Palliative Medicine, where he sits on a number of committees. He is currently the Chief of the Division of Palliative Care at Lurie Children's Hospital in Chicago, where he lives with his wife and children. He has published in a number of medical journals as well as national media outlets. He is the author of the nonfiction book This Narrow Space about his experiences working in the Middle East. His writing has appeared in the Hill, the New York Times, the Washington Post, Time and elsewhere. Marcia Glass, MD, earned her medical degree at Georgetown University and completed her residency training at Tulane University. She has worked extensively abroad, including stints with Doctors without Borders, Partners in Health, the Liberian government, UCSF, and Columbia University. She received a Yale Johnson and Johnson fellowship and a Fulbright. She is currently program director for the palliative-care fellowship at Tulane. Dr. Glass has published in several medical journals and online publications, including the Washington Post, The Journal of Hospital Medicine, and The Lancet.

1. Introduction: Why Palliative Care?
Elisha Waldman and Marcia Glass

2. Palliative Care Needs of People Affected by Natural Hazards, Political or Ethnic Conflict, Epidemics of Life-Threatening Infections, and Other Humanitarian Crises
Eric L. Krakauer, Bethany-Rose Daubman, Tammam Aloudat, Nahid Bhadelia, Lynn Black, Sanja Janjanin, and Farzana Khan

3. Practical Tips on Integrating Palliative Care
Brett Sutton and Joan Marston

4. Pain Management
Elisha Waldman and Stefan J. Friedrichsdorf

5. Dyspnea
Meaghann S. Weaver

6. Gastrointestinal Symptom Management
Gary Hsin

7. Delirium and Acute Anxiety
Kevin Bezanson and Stephanie Rogers

8. Skin Conditions in Crisis Areas
Marcia Glass, Carrie Kovarik, Mara Haseltine, Sandra L. Freiwald, and Susan Barbour

9. Care of the Dying Patient
Megan Doherty and Joshua Hauser

10. Noncommunicable Diseases in Crisis Regions
Sujatha Sankaran, Sriram Shamasunder, Marcia Glass, and Mhoira E.F. Leng

11. Palliative Care Emergencies in Humanitarian Crises
David M. Williscroft

12. Pediatric Palliative Care in the Context of Humanitarian Crises
Elisha Waldman and Justin N. Baker

13. Essential Medicines
Catherine Habashy, Sarah L. Comolli, and Justin N. Baker

14. Communicating Bad News
Meaghann S. Weaver and Michaela Ibach

15. Law and Ethics of End-of-Life Care in Humanitarian Crises
Natasha Yacoub, Lisa Schwartz, and Kevin Bezanson

16. Cultural, Psychological, and Spiritual Dimensions of Palliative Care in Humanitarian Crises
Denah M. Joseph, Peter Yuichi Clark, and Jessi Humphreys

17. A Trauma-Informed Response to Working in Humanitarian Crises: Focus on Providers
Denah M. Joseph and Jessi Humphreys