Elizabeth M. Kanny, PhD, OTR/L, FAOTA, is Associate Professor and Head, Division of Occupational Therapy, Department of Rehabilitation Medicine, University of Washington, Box 356490, Seattle, Washington 98195

Penny L. Kyler, MA, OTR/L, FAOTA, is Ethics Program Manager, American Occupational Therapy Association, Bethesda, Maryland, and Adjunct Assistant Professor, Towson University, Towson, Maryland