Table 1 Original items POPAC (Edvarsson, 2013) [19]

1

We assess the cognitive status of our older patients on admission

2

We make environmental adjustments to avoid over-stimulation in older people with cognitive impairment (e.g. single rooms, noise reductions etc.)

3

We diagnose symptoms of cognitive impairment (e.g. dementias, delirium etc.)

4

We spend more time with older patients with cognitive impairments as compared to cognitively intact patients

5

We leave older people with cognitive impairments alone in the ward

6

We use evidence-based tools to assess cognitive status of older patients (e.g. the MMSE, SPMSQ, CAM)

7

We consult specialist expertise (e.g. psychologist, gerontologist) if we find that a patient has cognitive impairment

8

We use evidence-based care guidelines in the care of older cognitively impaired patients

9

We use biographical information about older patients (e.g. habits, interests and wishes etc.) to plan their care

10

We involve family members in the care of older patients with cognitive impairment

11

We provide staff continuity for older patients with cognitive impairments (e.g. the same nurses providing care to these patients as often as possible)

12

We systematically evaluate whether or not older patients with cognitive impairment receive care that meets their needs

13

We involve older patients with cognitive impairment in decisions about their care (e.g. examinations, treatments etc.)

14

We ensure that older patients with cognitive impairment have tests/examinations/consultations in the unit rather than having to go to another department

15

We discuss ways to meet the complex care needs of people with cognitive impairment