Inaugural Jennifer Horner Lecture in Bioethics Series dives deep into the ethics of medical care and human life
Dr. Jennifer Horner was honored at her retirement with the creation of the Jennifer Horner Lecture in Bioethics Series. She is shown with Randy Leite, dean of the College of Health Sciences and Professions.
A woman is suffering from end-stage pancreatic cancer while concurrently selling her prescribed opiates to support an addiction to methamphetamine. She then returns to her physician for more prescribed medication as her pain worsens.
What should the treatment team do? What would you do?
The above scenario was just one of the many thoughtful topics and shared discussions that took place during the inaugural Jennifer Horner Lecture in Bioethics Series hosted by the College of Health Sciences and Professions (CHSP) on March 28.
The event was created to honor Dr. Jennifer Horner, associate dean emerita, who retired from CHSP in May 2018 after more than 10 years with the college as both a professor and the associate dean for research and graduate studies.
鈥淛en did a lot to transform this college through a great period of growth,鈥 said CHSP Dean Randy Leite. 鈥淪he has an absolute passion around bioethics, and she has spent a lot of time reading, studying, thinking about and teaching bioethics. There was no better way to honor her legacy in the college than to initiate this lecture series.鈥
The inaugural series featured a diverse events lineup, including a scene from the play 鈥淐onfessions of a Reluctant Caregiver鈥 by Merri Biechler, a group panel discussion and a keynote lecture delivered by Bruce Jennings, an adjunct professor in the Center for Biomedical Ethics and Society and the Department of Health Policy at Vanderbilt University School of Medicine.
Dr. Horner said she recommended Jennings as the first speaker of the series because of his contributions to bioethics literature and the relevance of his work.
Jennings鈥 lecture, entitled 鈥淏ioethics as Civic Learning: Rethinking One Another in a Time of Interdependence,鈥 explored the past practices of bioethics and future direction of the field. He explained the former view of considering a person as an isolated individual has given way to exploring the individual in the context of his/her relationships with the world.
鈥淵ou鈥檙e living your life in and through everything around you. You鈥檙e not necessarily a product of that because you鈥檙e also a unique individual,鈥 Jennings said. 鈥淵ou鈥檙e a product of your own thoughts, your own goals and your own life plan. It鈥檚 not undercutting the moral importance of the individual human person. It鈥檚 thinking about the person in a new way.鈥
Jennings noted that he was proud to be selected to deliver the event鈥檚 first keynote lecture.
鈥淚 was very glad to have an opportunity to lay out some of my ideas for how we can take relationships, family and culture more seriously in bioethics so that we don鈥檛 pretend that individuals are just sort of these single entities that are just floating around in empty space,鈥 Jennings said.
Following Jennings鈥 keynote lecture, Biechler鈥檚 play explored the experiences of a woman in charge of the care of her parents, both of whom were dying of cancer.
The play, combined with Jennings鈥 thoughtful lecture, set the perfect state for a case study and panel discussion with Jennings, Dr. Horner and Susan Erlewine, MSN, RN-BC. In the case of the woman suffering from pancreatic cancer who was selling her medication to support another drug addiction, the notion of 鈥渄o no harm鈥 to the patient was countered with a debate as to the harm caused to society in contributing to the sale of drugs in the community. The fact that addiction is classified as a mental disorder contributed another wrinkle to the case study and group discussion.
鈥淲e have to cope on a day-to-day basis with flawed human beings and flawed systems. In any given case, the outcome is rarely perfect or ideal,鈥 Jennings said about the ethical dilemmas presented. 鈥淥ur job on any given day is to make it better rather than worse. Our job on a long-term basis is to correct our systems and our institutions so we come closer to the ideal of a perfect outcome.鈥
Following the day鈥檚 events, Dr. Horner took a moment to reflect on the inaugural series that was created to honor her CHSP legacy.
鈥淢r. Jennings鈥 emphasis on ethical thinking and ethical action in the context of interdependent relationships and intergenerational responsibilities represents bioethics as a civic enterprise; these cutting-edge concepts are very important to our teaching and learning of bioethics,鈥 she said. 鈥淚 thought Merri Biechler鈥檚 play was very powerful and hope that this dramatic method will continue to be used to illustrate realistic ethical quandaries in the future. I also liked the panel discussion because it allowed spontaneous reaction from the audience and greater depth of conversation.鈥