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Dear Claire A recurring one for the team I work in (a community physical disability team, 16-65 age group who have ongoing physical disability) is where an adult is being abused in some way or ways by their carer, a member of their family. If they were a child, no problem, there are systems in place; if they were elderly; again no problem. However, if the adult who is being abused consents to status quo, then there's very little anyone can do about it, other than carefully document any evidence of abuse & repeatedly offer the abused person the option of support. This gets even more challenging for us when the abused person also has cognitive problems arising from eg MS or communication problems arising from eg stroke. I'm sure you could build some case studies around this theme. Enjoy your studies ! Nikki Adams MCSP SRP Grad Dip Phys BSc (Hons) Chartered Physiotherapist and Certified Practitioner in Neuro-Linguistic Programming ----- Original Message ----- From: "Claire" <[log in to unmask]> To: <[log in to unmask]> Sent: Saturday, May 22, 2004 8:18 PM Subject: Ethical dilemmas Hi I am currently studying on an MSc programme and am doing a module on "Teaching Medical Ethics". Does anyone know of any examples of serious ethical cases that have occurred in the field of physiotherapy that could be used for problem based learning sessions? Many thanks Claire Physio, Bristol, UK