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Cognitive Daisy

The Cognitive Daisy is an innovative assessment system created to provide healthcare staff with an instant snapshot of the cognitive status of older adults to help ensure the highest quality of care.

The aim of the Cognitive Daisy is to give a concise, visual description of a person’s cognitive status within five different domains. Whether a person is likely to experience problems with these skills in daily life is reflected in performance on our specially designed test.

The results are used to adjust interaction thereby improving communication, reducing agitation and enhancing person-centred care. It is not a diagnostic tool and so cannot show if someone has dementia or not, but it is a useful guide to a person’s cognitive strengths and weaknesses.

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The Daisy

The Cognitive Daisy is a visual description of a person’s cognitive strengths and difficulties which can help guide those who provide care and support.

Individual differences in cognitive impairments underlie many behavioural problems in people with neurological conditions. Recognising these cognitive difficulties and strengths is a major challenge for formal and informal carers yet important for guiding care-related decisions, reducing agitation and identifying optimal forms of communication.

The Cognitive Daisy enhances the quality of care a person receives by providing caregivers with a concise visual depiction of a person’s cognitive status.

The benefits

Recognising cognitive difficulties is important for guiding care-related decisions, predicting problematic situations and promoting safeguarding. For example, if someone has difficulty with speech production, choices can be kept simple or alternative methods of communication, such as writing or using gestures, can be encouraged. While activities and pastimes that build on strengths can be encouraged, thus improving well-being and self-esteem.

  • Adjustment of care choices in response to a Cognitive Daisy can reduce agitation and emotional states often associated with loss of cognitive skills.
  • Viewing Cognitive Daisies constructed at different stages gives health professionals and relatives a visual system for monitoring progression and facilitates discussions over care plans
  • The Cognitive Daisy training program provides information about cognitive changes associated with neurological conditions using non-jargon terminology.
  • Professional carers can readily derive an overview of the residents they care for.
  • Viewing the Cognitive Daisies of all residents in a care home setting will help identify common needs in a home and influence choices of home activities.
  • In a healthcare setting a Cognitive Daisy that indicates the proportion of people who are impaired in each cognitive area can guide organizational decisions on resources and staff training needs.
  • The Cognitive Daisy is cost effective. The training programme can be completed in 30 minutes. Professional health workers can be trained how to administer and score the Cognitive Daisy tests in two hours. It takes around 20 minutes to assess each person.
  • Implementation of the Cognitive Daisy on a larger scale will raise awareness of the relationship between cognitive functions and behaviour in people receiving care and support.
From our clients


Regional Care Home Operations Manager

“The effects of the project within my organisation have been positive, enabling team members to have a more detailed understanding of how people’s individual cognition effects their daily lives,

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Head of Care

“It has been a fantastic opportunity for our residents and care team to be part of the Cognitive Daisy Project, particularly for the Senior Carers The process of ‘testing’

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Senior carer

“By using the Daisy I was able to pick up on sensory impairments and amend care notes to inform staff By having the information as a team we were

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Say Hello

Meet the team

Dr John M Hudson

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Dr Petra M. J Pollux

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Steering Committee

A steering committee consisting of dementia professionals and University of Lincoln psychology students have been consulted throughout the design and development of the Cognitive Daisy research project.

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The effect of COG-D on recall and decision making

We are planning a series of experimental studies investigating whether recall of cognitive strengths and weaknesses improves with COG-D and whether the information provided in the daisies influences decisions regarding care-choices.

COG-D feasibility phase B:

The main aim is to determine whether COG-D is more effective in improving the quality of life in people with dementia living in care homes than usual care. To evaluate this, several impact measures will be recorded for carers and residents before and after the introduction of COG-D in a larger number of care homes in Lincoln. Introduction of COG-D includes a neuropsychological assessment of the residents. This assessment (conducted in the care home) will take place when it is most convenient for the resident. Once the neuropsychological assessment has been completed, the daisies will be created and will be placed in a discrete location in the resident’s room and in the care plan. The carers will be introduced to COG-D in an online training session.

If you would like to be involved in this project once the planning stage is completed, please contact us now to express your interest. We will give you more information about what participation would involve for the carers and residents.

Get in touch

Telephone: 01522 886360



Cognitive Daisy
School of Psychology
Sarah Swift Building
Brayford Pool
Lincoln University
Lincoln, LN6 7TS

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