Acopia

Do you use 'acopia'? I was advised in the week to use it in preference
to 'not coping'? I can see no reason to do so, though.

"Caol MacThòmais" <caol.macthomais@gmail.com> wrote in message
news:526r89F1mumj2U1@mid.individual.net...
> Do you use 'acopia'? I was advised in the week to use it in preference to
> 'not coping'? I can see no reason to do so, though.

just Googled as not heard the expression used here in Elderly Care in the UK
Private sector

acopia
no longer able to maintain ones independence...... can not cope: a :-
without copia:- copeing

All the references I have found (once I'd filtered out the Company
with the same name) are American

--
Regards
From
Gray
The Madcaravanner from Chesterfield and Sharm El Sheikh
www.madcaravanner.co.uk
You don't have to be mad but it helps

Pictures at http://s78.photobucket.com/albums/j115/Madcaravanner/

On 2007-01-29 19:10:47 +0000, "Graham Wilson"
<FN73871@news.freenetname.co.uk> said:

> "Caol MacThòmais" <caol.macthomais@gmail.com> wrote in message
> news:526r89F1mumj2U1@mid.individual.net...
>> Do you use 'acopia'? I was advised in the week to use it in preference to
>> 'not coping'? I can see no reason to do so, though.
>
> just Googled as not heard the expression used here in Elderly Care in the UK
> Private sector
>
> acopia
> no longer able to maintain ones independence...... can not cope: a :-
> without copia:- copeing

It just seems to me a rather pointless excercise - inventing a word to
express an uncomplex idea.

> All the references I have found (once I'd filtered out the Company
> with the same name)

And of course the town in Peru!

> are American

Many I found were Australian - perhaps they meant it aas a joke, and it
got out of hand?

kt.

"Caol MacThòmais" wrote ...
> Do you use 'acopia'? I was advised in the week to use it in preference to
> 'not coping'? I can see no reason to do so, though.

"Not coping" is obviously an insufficient and trite diagnosis.
"Acopia" - false latin - allows such laziness and negligence to also make
fun of the patient and meet modern academic standards.

It stinks.

"Not coping" really isn't much better and blames the patient - but at least
it's open about it.

Much better to consider what the real problem is; what the patient cannot
cope with.
And why.
--

Andrew Heenan
http://www.realnurse.net/

"Andrew Heenan" wrote, amongst other things .....
> "Acopia" - false latin - allows such laziness and negligence to also make
> fun of the patient and meet modern academic standards.

Must be medical in origin then.

On 2007-01-30 15:51:55 +0000, "Andrew Heenan" <andrew3@heenan.net> said:

> "Caol MacThòmais" wrote ...
>> Do you use 'acopia'? I was advised in the week to use it in preference to
>> 'not coping'? I can see no reason to do so, though.
>
> "Not coping" is obviously an insufficient and trite diagnosis.
> "Acopia" - false latin - allows such laziness and negligence to also make
> fun of the patient and meet modern academic standards.
>
> It stinks.
>
> "Not coping" really isn't much better and blames the patient - but at least
> it's open about it.
>
> Much better to consider what the real problem is; what the patient cannot
> cope with.
> And why.

I had written "not coping with blah due to blah", was advised to write
"acopia blah due to blah".

It was just the 'acopia' bit I was querying.

"Caol MacThòmais" <caol.macthomais@gmail.com> wrote in message
news:52f7ecF1ocbp4U1@mid.individual.net...
> I had written "not coping with blah due to blah", was advised to write
> "acopia blah due to blah".
>
> It was just the 'acopia' bit I was querying.
>

Personally I'd write it how you did and make the comment that it was ME
writing the report and that's how I write it

--
Regards
From
Gray
The Madcaravanner from Chesterfield and Sharm El Sheikh
www.madcaravanner.co.uk
You don't have to be mad but it helps

Pictures at http://s78.photobucket.com/albums/j115/Madcaravanner/

"Caol MacThòmais" wrote ...
> I had written "not coping with blah due to blah", was advised to write
> "acopia blah due to blah".
> It was just the 'acopia' bit I was querying.

Good on ya!

It still stinks; there's no such word in ANY language. At the very least,
it's taking the p*** - and it would look that way when read out in court.
--

Andrew Heenan
http://www.realnurse.net/

Andrew Heenan wrote:
> "Caol MacThòmais" wrote ...
>
>>I had written "not coping with blah due to blah", was advised to write
>>"acopia blah due to blah".
>>It was just the 'acopia' bit I was querying.
>
>
>
> Good on ya!
>
> It still stinks; there's no such word in ANY language. At the very least,
> it's taking the p*** - and it would look that way when read out in court.

Acopia and not coping are used in different situations.

Acopia is used in Mental Health to describe a total lack of of coping
skills, a persons inability to meet basic needs and to cope with lifes
stresses, eg someone with a psychiatric condition who has been picked up
from the street starving and filthy because they can not manage to buy
food and cook, maintain hygiene, pay bills etc.

Not coping in some specific way eg with blah due to Blah Blah is not
acopic, it is normal.

"Ken Lynch" <kenfirst@dodo.com.au> wrote ...
> Acopia and not coping are used in different situations.
> Acopia is used in Mental Health to describe a total lack of of coping
> skills, a persons inability to meet basic needs and to cope with lifes
> stresses, eg someone with a psychiatric condition who has been picked up
> from the street starving and filthy because they can not manage to buy
> food and cook, maintain hygiene, pay bills etc.
> Not coping in some specific way eg with blah due to Blah Blah is not
> acopic, it is normal.

Useful distinction; but even in that circumstance, it's taking a collection
of symptoms and dressing it up as a diagnosis.

Would we be talking about a Personailty issue? Depression? Schizophrenia?
What?

It begs too many questions to be acceptable, even as slang.

Much better to discuss the 'real' issues.
--

Andrew Heenan
http://www.realnurse.net/

On 2007-01-29 18:03:56 +0000, Caol MacThòmais <caol.macthomais@gmail.com> said:

> Do you use 'acopia'? I was advised in the week to use it in preference
> to 'not coping'? I can see no reason to do so, though.

In my final week of placement I wrote again "not coping with blah" and
before it was picked up I know I hadn't explained myself fully, however
the following day I caught my mentor editing my notes and writing that
a pt's relly was 'not coping' - just that, no mention of what she
wasn't coping with, or any more details.

I found this a little frustrating, especially as he was writing under
my name (electronic documentation, see)

"Caol MacThòmais" wrote ...
> the following day I caught my mentor editing my notes and writing that a
> pt's relly was 'not coping' - just that, no mention of what she wasn't
> coping with, or any more details.
> I found this a little frustrating, especially as he was writing under my
> name (electronic documentation, see)

I really wouldn't worry about the 'coping' business; you will be responsible
for what you write when you qualify, and you will then be able to make an
informed decision - and hopefully educate others. In the mean time, swallow
hard and count to ten!

A more serious issue is that the electronic documentation allows someone to
'pass themselves off' as you; as well as appalling practice - and pretty
appalling software - it's quite likely in breach of the Data Protection Act.
--

Andrew Heenan
http://www.realnurse.net/

> "Caol MacThòmais" wrote ...
>> the following day I caught my mentor editing my notes and writing that a
>> pt's relly was 'not coping' - just that, no mention of what she wasn't
>> coping with, or any more details.
>> I found this a little frustrating, especially as he was writing under my
>> name (electronic documentation, see)

Pardon me !!!!!!!!!!!!!!!!!!!!!!!
That is actually ILLEGAL
your mentor does not have the right to enter electronic documentation under
YOUR identity

contact the uni NOW

and the RCN if you're a member

"Graham Wilson" wrote:
> Pardon me !!!!!!!!!!!!!!!!!!!!!!!
> That is actually ILLEGAL
> your mentor does not have the right to enter electronic documentation
> under YOUR identity
>
> contact the uni NOW
>
> and the RCN if you're a member

Agreed, if that is what is happening. The NMC would probably also regard it
as serious professional misconduct as it amounts to falsification of a
clinical record. However, I did wonder whether the OP meant that the nurse
was countersigning and adding his own record beneath hers, using his own
name. The system shouldn't really allow any other identity to be used that
is different to the person who is logged on. In my area students can't enter
electronic patient records as they can't have a username and password, and
students cannot use the username and password assigned to a registered
nurse.

On 2007-03-03 07:28:32 +0000, "Curious" <?> said:

> "Graham Wilson" wrote:
>> Pardon me !!!!!!!!!!!!!!!!!!!!!!!
>> That is actually ILLEGAL
>> your mentor does not have the right to enter electronic documentation
>> under YOUR identity
>>
>> contact the uni NOW
>>
>> and the RCN if you're a member
>
> Agreed, if that is what is happening. The NMC would probably also regard it
> as serious professional misconduct as it amounts to falsification of a
> clinical record. However, I did wonder whether the OP meant that the nurse
> was countersigning and adding his own record beneath hers, using his own
> name. The system shouldn't really allow any other identity to be used that
> is different to the person who is logged on. In my area students can't enter
> electronic patient records as they can't have a username and password, and
> students cannot use the username and password assigned to a registered
> nurse.

My mentor was editing in the middle of a block of notes I had made, so
really it was not clear whose writing was whose.

Although I did not have a login of my own I wrote under other people's
names with "Typed by Caol MacThòmais" appended on the end. Where this
fits in with record keeping rules I cannot tell.

"Caol MacThòmais" wrote:
> My mentor was editing in the middle of a block of notes I had made, so
> really it was not clear whose writing was whose.

Presumably this was before the record had been saved as the system shouldn't
allow any editing afterwards. Your mentor, as the registered practitioner,
is professionally accountable for what appears as the final record. The
legal significance of the practitioner's name is that the final record is a
true account.

> Although I did not have a login of my own I wrote under other people's
> names with "Typed by Caol MacThòmais" appended on the end. Where this fits
> in with record keeping rules I cannot tell.

If it clear who wrote what, and when, then that should satisfy the NMC and
possibly a court. But it sounds like a shared login which is fine if the
trust approves of this. It is difficult because on the one hand records
should be made by whoever has first hand knowledge of the patient, but on
the other hand students are not eligible for their own account on the
trust's network. Hand written records are more straightforward in this
respect.

"Curious" <?> wrote in message news:45ea89a0@212.67.96.135...
>> Although I did not have a login of my own I wrote under other people's
>> names with "Typed by Caol MacThòmais" appended on the end. Where this
>> fits in with record keeping rules I cannot tell.

I don't know the rules in enough detail to be sure; I suspect the NMC and
you college would be satisfied (so long as in six months time you are sure
enough to take an oath on it ...

.... But where a system has the security of electronic log-ons, the system
should - and usually would - have rules about how to use it. And a most
basic rule is that you do not, ever, post under someone else's log-on, or
allow others to use yours.

Without such basic safeguards, the system is pointless!

Patient's records are not the palce for 'education in action', as they
constitute a permanent record. It's one thing for a mentor / tutor to add a
qualifying comment to yours, with a signature staing their supervisory
role - but editing a note sounds highly dubious to me.

How your trust / college deals with this would be interesting, by the sound
of it ;o)
--

Andrew Heenan
http://www.realnurse.net/

"Andrew Heenan" <andrew3@heenan.net> wrote in message
news:9CwGh.28752$mn2.12898@newsfe7-win.ntli.net...
> "Curious" <?> wrote in message news:45ea89a0@212.67.96.135...
>>> Although I did not have a login of my own I wrote under other people's
>>> names with "Typed by Caol MacThòmais" appended on the end.

Sorry, Curious, my editing (above post) makes it look as though you are
Caol; genuinely not intended, but does rather support my point!

Cheers,

Andrew

"Andrew Heenan" wrote:
> Sorry, Curious, my editing (above post) makes it look as though you are
> Caol; genuinely not intended, but does rather support my point!

That's OK Andrew, I agree with your comment regarding a person who hasn't
got an account using a computer while it is logged on to a network with
another person's account. I would be interested to know how others manage
this. Does anywhere include students on staff IT training so that they can
be issued with their own username and password?

Andrew Heenan wrote:
> "Ken Lynch" <kenfirst@dodo.com.au> wrote ...
>
>>Acopia and not coping are used in different situations.
>>Acopia is used in Mental Health to describe a total lack of of coping
>>skills, a persons inability to meet basic needs and to cope with lifes
>>stresses, eg someone with a psychiatric condition who has been picked up
>>from the street starving and filthy because they can not manage to buy
>>food and cook, maintain hygiene, pay bills etc.
>>Not coping in some specific way eg with blah due to Blah Blah is not
>>acopic, it is normal.
>
>
> Useful distinction; but even in that circumstance, it's taking a collection
> of symptoms and dressing it up as a diagnosis.
>
> Would we be talking about a Personailty issue? Depression? Schizophrenia?
> What?
>
> It begs too many questions to be acceptable, even as slang.
>
> Much better to discuss the 'real' issues.

Acopia is not a diagnosis, it is a symptom that may be present in many
conditions including dementia, schizophrenia (as one of the negative
symptoms), depression and sometimes anxiety conditions. It is not common
in people who have personality disorders as they tend to not cope with
specific ways.

Failing to acknowledge acopia as a valid symptom in mental health
conditions would limit your ability to diagnose and care for some patients.

However using the term as a way of labeling a patient is poor practice
because it is not a label or a diagnosis, it is a symptom of an
underlying condition.

It is a real issue, its just that some uneducated/uncaring people use
the term incorrectly.

"Ken Lynch" wrote ...
> Acopia is not a diagnosis, it is a symptom that may be present in many
> conditions including dementia, schizophrenia (as one of the negative
> symptoms), depression and sometimes anxiety conditions. It is not common
> in people who have personality disorders as they tend to not cope with
> specific ways.
> Failing to acknowledge acopia as a valid symptom in mental health
> conditions would limit your ability to diagnose and care for some
> patients.
> However using the term as a way of labeling a patient is poor practice
> because it is not a label or a diagnosis, it is a symptom of an underlying
> condition.
> It is a real issue, its just that some uneducated/uncaring people use the
> term incorrectly.

So how would you define it?
And how would you use it "correctly"

As it has no 'science' or any other independent existence, I don't see how
anyone can be educated to use it correctly; can you point us to any source
that might be useful educational material?

I have heard (and seen) the term used many times, usually as slang /
shorthand for 'failure to cope, occasionally as mild abuse, interchangeably
with 'bed blocker' (another horrible term that is reappearing at
multi-disciplinary meetings as the cuts bite). I've never ever heard it used
to describe a symptom, and have never seen it in any textbook.

Even the mighty Google cannot locate a definition - of any kind:
http://www.tiny.cc/acopia

Perhaps acopia is like 'gullible' - excluded from every dictionary ;o)
--

Andrew Heenan
http://www.realnurse.net/

	#1
=?ISO-8859-1?Q?Caol_MacTh=F2mais?=	Acopia Do you use 'acopia'? I was advised in the week to use it in preference to 'not coping'? I can see no reason to do so, though.

	#2
Graham Wilson	Re: Acopia "Caol MacThòmais" <caol.macthomais@gmail.com> wrote in message news:526r89F1mumj2U1@mid.individual.net... > Do you use 'acopia'? I was advised in the week to use it in preference to > 'not coping'? I can see no reason to do so, though. just Googled as not heard the expression used here in Elderly Care in the UK Private sector acopia no longer able to maintain ones independence...... can not cope: a :- without copia:- copeing All the references I have found (once I'd filtered out the Company with the same name) are American -- Regards From Gray The Madcaravanner from Chesterfield and Sharm El Sheikh www.madcaravanner.co.uk You don't have to be mad but it helps Pictures at http://s78.photobucket.com/albums/j115/Madcaravanner/

	#3
=?ISO-8859-1?Q?Caol_MacTh=F2mais?=	Re: Acopia On 2007-01-29 19:10:47 +0000, "Graham Wilson" <FN73871@news.freenetname.co.uk> said: > "Caol MacThòmais" <caol.macthomais@gmail.com> wrote in message > news:526r89F1mumj2U1@mid.individual.net... >> Do you use 'acopia'? I was advised in the week to use it in preference to >> 'not coping'? I can see no reason to do so, though. > > just Googled as not heard the expression used here in Elderly Care in the UK > Private sector > > acopia > no longer able to maintain ones independence...... can not cope: a :- > without copia:- copeing It just seems to me a rather pointless excercise - inventing a word to express an uncomplex idea. > All the references I have found (once I'd filtered out the Company > with the same name) And of course the town in Peru! > are American Many I found were Australian - perhaps they meant it aas a joke, and it got out of hand? kt.

	#4
Andrew Heenan	Re: Acopia "Caol MacThòmais" wrote ... > Do you use 'acopia'? I was advised in the week to use it in preference to > 'not coping'? I can see no reason to do so, though. "Not coping" is obviously an insufficient and trite diagnosis. "Acopia" - false latin - allows such laziness and negligence to also make fun of the patient and meet modern academic standards. It stinks. "Not coping" really isn't much better and blames the patient - but at least it's open about it. Much better to consider what the real problem is; what the patient cannot cope with. And why. -- Andrew Heenan http://www.realnurse.net/

	#5
News Groups	Re: Acopia "Andrew Heenan" wrote, amongst other things ..... > "Acopia" - false latin - allows such laziness and negligence to also make > fun of the patient and meet modern academic standards. Must be medical in origin then.

	#6
=?ISO-8859-1?Q?Caol_MacTh=F2mais?=	Re: Acopia On 2007-01-30 15:51:55 +0000, "Andrew Heenan" <andrew3@heenan.net> said: > "Caol MacThòmais" wrote ... >> Do you use 'acopia'? I was advised in the week to use it in preference to >> 'not coping'? I can see no reason to do so, though. > > "Not coping" is obviously an insufficient and trite diagnosis. > "Acopia" - false latin - allows such laziness and negligence to also make > fun of the patient and meet modern academic standards. > > It stinks. > > "Not coping" really isn't much better and blames the patient - but at least > it's open about it. > > Much better to consider what the real problem is; what the patient cannot > cope with. > And why. I had written "not coping with blah due to blah", was advised to write "acopia blah due to blah". It was just the 'acopia' bit I was querying.

	#9
Ken Lynch	Re: Acopia Andrew Heenan wrote: > "Caol MacThòmais" wrote ... > >>I had written "not coping with blah due to blah", was advised to write >>"acopia blah due to blah". >>It was just the 'acopia' bit I was querying. > > > > Good on ya! > > It still stinks; there's no such word in ANY language. At the very least, > it's taking the p*** - and it would look that way when read out in court. Acopia and not coping are used in different situations. Acopia is used in Mental Health to describe a total lack of of coping skills, a persons inability to meet basic needs and to cope with lifes stresses, eg someone with a psychiatric condition who has been picked up from the street starving and filthy because they can not manage to buy food and cook, maintain hygiene, pay bills etc. Not coping in some specific way eg with blah due to Blah Blah is not acopic, it is normal.

	#10
Andrew Heenan	Re: Acopia "Ken Lynch" <kenfirst@dodo.com.au> wrote ... > Acopia and not coping are used in different situations. > Acopia is used in Mental Health to describe a total lack of of coping > skills, a persons inability to meet basic needs and to cope with lifes > stresses, eg someone with a psychiatric condition who has been picked up > from the street starving and filthy because they can not manage to buy > food and cook, maintain hygiene, pay bills etc. > Not coping in some specific way eg with blah due to Blah Blah is not > acopic, it is normal. Useful distinction; but even in that circumstance, it's taking a collection of symptoms and dressing it up as a diagnosis. Would we be talking about a Personailty issue? Depression? Schizophrenia? What? It begs too many questions to be acceptable, even as slang. Much better to discuss the 'real' issues. -- Andrew Heenan http://www.realnurse.net/

	#11
=?ISO-8859-1?Q?Caol_MacTh=F2mais?=	Re: Acopia On 2007-01-29 18:03:56 +0000, Caol MacThòmais <caol.macthomais@gmail.com> said: > Do you use 'acopia'? I was advised in the week to use it in preference > to 'not coping'? I can see no reason to do so, though. In my final week of placement I wrote again "not coping with blah" and before it was picked up I know I hadn't explained myself fully, however the following day I caught my mentor editing my notes and writing that a pt's relly was 'not coping' - just that, no mention of what she wasn't coping with, or any more details. I found this a little frustrating, especially as he was writing under my name (electronic documentation, see)

	#13
Graham Wilson	Re: Acopia > "Caol MacThòmais" wrote ... >> the following day I caught my mentor editing my notes and writing that a >> pt's relly was 'not coping' - just that, no mention of what she wasn't >> coping with, or any more details. >> I found this a little frustrating, especially as he was writing under my >> name (electronic documentation, see) Pardon me !!!!!!!!!!!!!!!!!!!!!!! That is actually ILLEGAL your mentor does not have the right to enter electronic documentation under YOUR identity contact the uni NOW and the RCN if you're a member

	#14
Curious	Re: Acopia "Graham Wilson" wrote: > Pardon me !!!!!!!!!!!!!!!!!!!!!!! > That is actually ILLEGAL > your mentor does not have the right to enter electronic documentation > under YOUR identity > > contact the uni NOW > > and the RCN if you're a member Agreed, if that is what is happening. The NMC would probably also regard it as serious professional misconduct as it amounts to falsification of a clinical record. However, I did wonder whether the OP meant that the nurse was countersigning and adding his own record beneath hers, using his own name. The system shouldn't really allow any other identity to be used that is different to the person who is logged on. In my area students can't enter electronic patient records as they can't have a username and password, and students cannot use the username and password assigned to a registered nurse.

	#15
=?ISO-8859-1?Q?Caol_MacTh=F2mais?=	Re: Acopia On 2007-03-03 07:28:32 +0000, "Curious" <?> said: > "Graham Wilson" wrote: >> Pardon me !!!!!!!!!!!!!!!!!!!!!!! >> That is actually ILLEGAL >> your mentor does not have the right to enter electronic documentation >> under YOUR identity >> >> contact the uni NOW >> >> and the RCN if you're a member > > Agreed, if that is what is happening. The NMC would probably also regard it > as serious professional misconduct as it amounts to falsification of a > clinical record. However, I did wonder whether the OP meant that the nurse > was countersigning and adding his own record beneath hers, using his own > name. The system shouldn't really allow any other identity to be used that > is different to the person who is logged on. In my area students can't enter > electronic patient records as they can't have a username and password, and > students cannot use the username and password assigned to a registered > nurse. My mentor was editing in the middle of a block of notes I had made, so really it was not clear whose writing was whose. Although I did not have a login of my own I wrote under other people's names with "Typed by Caol MacThòmais" appended on the end. Where this fits in with record keeping rules I cannot tell.

	#16
Curious	Re: Acopia "Caol MacThòmais" wrote: > My mentor was editing in the middle of a block of notes I had made, so > really it was not clear whose writing was whose. Presumably this was before the record had been saved as the system shouldn't allow any editing afterwards. Your mentor, as the registered practitioner, is professionally accountable for what appears as the final record. The legal significance of the practitioner's name is that the final record is a true account. > Although I did not have a login of my own I wrote under other people's > names with "Typed by Caol MacThòmais" appended on the end. Where this fits > in with record keeping rules I cannot tell. If it clear who wrote what, and when, then that should satisfy the NMC and possibly a court. But it sounds like a shared login which is fine if the trust approves of this. It is difficult because on the one hand records should be made by whoever has first hand knowledge of the patient, but on the other hand students are not eligible for their own account on the trust's network. Hand written records are more straightforward in this respect.

	#17
Andrew Heenan	Re: Acopia "Curious" <?> wrote in message news:45ea89a0@212.67.96.135... >> Although I did not have a login of my own I wrote under other people's >> names with "Typed by Caol MacThòmais" appended on the end. Where this >> fits in with record keeping rules I cannot tell. I don't know the rules in enough detail to be sure; I suspect the NMC and you college would be satisfied (so long as in six months time you are sure enough to take an oath on it ... .... But where a system has the security of electronic log-ons, the system should - and usually would - have rules about how to use it. And a most basic rule is that you do not, ever, post under someone else's log-on, or allow others to use yours. Without such basic safeguards, the system is pointless! Patient's records are not the palce for 'education in action', as they constitute a permanent record. It's one thing for a mentor / tutor to add a qualifying comment to yours, with a signature staing their supervisory role - but editing a note sounds highly dubious to me. How your trust / college deals with this would be interesting, by the sound of it ;o) -- Andrew Heenan http://www.realnurse.net/

	#18
Andrew Heenan	Re: Acopia "Andrew Heenan" <andrew3@heenan.net> wrote in message news:9CwGh.28752$mn2.12898@newsfe7-win.ntli.net... > "Curious" <?> wrote in message news:45ea89a0@212.67.96.135... >>> Although I did not have a login of my own I wrote under other people's >>> names with "Typed by Caol MacThòmais" appended on the end. Sorry, Curious, my editing (above post) makes it look as though you are Caol; genuinely not intended, but does rather support my point! Cheers, Andrew

	#19
Curious	Re: Acopia "Andrew Heenan" wrote: > Sorry, Curious, my editing (above post) makes it look as though you are > Caol; genuinely not intended, but does rather support my point! That's OK Andrew, I agree with your comment regarding a person who hasn't got an account using a computer while it is logged on to a network with another person's account. I would be interested to know how others manage this. Does anywhere include students on staff IT training so that they can be issued with their own username and password?

	#21
Andrew Heenan	Re: Acopia "Ken Lynch" wrote ... > Acopia is not a diagnosis, it is a symptom that may be present in many > conditions including dementia, schizophrenia (as one of the negative > symptoms), depression and sometimes anxiety conditions. It is not common > in people who have personality disorders as they tend to not cope with > specific ways. > Failing to acknowledge acopia as a valid symptom in mental health > conditions would limit your ability to diagnose and care for some > patients. > However using the term as a way of labeling a patient is poor practice > because it is not a label or a diagnosis, it is a symptom of an underlying > condition. > It is a real issue, its just that some uneducated/uncaring people use the > term incorrectly. So how would you define it? And how would you use it "correctly" As it has no 'science' or any other independent existence, I don't see how anyone can be educated to use it correctly; can you point us to any source that might be useful educational material? I have heard (and seen) the term used many times, usually as slang / shorthand for 'failure to cope, occasionally as mild abuse, interchangeably with 'bed blocker' (another horrible term that is reappearing at multi-disciplinary meetings as the cuts bite). I've never ever heard it used to describe a symptom, and have never seen it in any textbook. Even the mighty Google cannot locate a definition - of any kind: http://www.tiny.cc/acopia Perhaps acopia is like 'gullible' - excluded from every dictionary ;o) -- Andrew Heenan http://www.realnurse.net/