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Ethics Cases: Do they Elicit Different Levels of Ethical Reasoning?

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Correspondence to Belinda Kenny.

Appendices

Appendices

Appendix 1. Ethical scenario

You are currently employed as a speech pathologist/audiologist in a large and busy private practice. Clients pay approximately $100 per hour for the services that you provide. In addition to this, audiology clients pay for any hearing devices that you prescribe. You have been working with a Tara W. for the past 3 months. Tara has made little progress over the last month although initially she made rapid gains in her abilities. Her mother, Mrs W., tells you that she is having difficulty completing the exercises that you have set for home practice because her other child has recently been diagnosed with epilepsy and she is focusing on sorting out this child’s issues. You tell Mrs W. that Tara has made little progress in the last month and that a break from treatment might be beneficial while she sorts out her child’s difficulties. Mrs W. rejects this idea and says she is happy to keep bringing Tara because “at least she is doing something for her”. You are aware that financially it is not easy for the W.’s to afford Tara’s treatment sessions.

Later that week you receive a phone call from the local community health centre clinician who says she has obtained Mrs W.’s permission to call you. The clinician says that it is the centre’s policy not to offer free services to children who are already receiving services elsewhere. The clinician is enquiring whether Tara can continue to receive ongoing services from you. You check Tara’s file and there is no signed release of information form in the file.

Appendix 2

Table 3 Bioethical principles (SPA 2010)

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Kenny, B., Lincoln, M. & Killian, F. Ethics Cases: Do they Elicit Different Levels of Ethical Reasoning?. J Acad Ethics 13, 259–275 (2015). https://doi.org/10.1007/s10805-015-9234-6

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