Table 1 Description of Ms. Olsen test and number of correct answers per item for RNs respectively PNs

1

Has dyspnoea during rest within last two days

1

2

2

Choughs, has increased saliva and respiration frequency above 20/min

2

1

3

Has temperature above 38.5

2

1

4

Is substantially dehydrated

2

1

5

Skin has rash, wounds, is red or itchy

1

1

6

Has reduced appetite and food intake

2

2

7

Is not able to eat

2

1

8

Has pain and discomfort in mouth

1

1

9

Is incontinent for urine, stings when urinates

2

1

10

Has fresh blood in stool

1

2

11

Has increased needs to full care within last two days

2

1

12

Has fallen two times during previous week

2

1

13

Has symptoms of partial paralysis

1

2

14

Is more tired during the day

1

1

15

Has changes in sight, hearing, speech and comprehension

1

2

16

Has newly occurring chest pain

1

2

17

Has lost interest in keeping home in order, sleeps in chair instead of bed

1

1

18

Has short attention span and delusions

1

2