Functional assessment staging test pdf 2026

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  1. Click ‘Get Form’ to open the functional assessment staging test PDF in the editor.
  2. Begin by entering the resident's name and date of birth in the designated fields at the top of the form. This information is crucial for accurate record-keeping.
  3. Fill in the facility name and informant details, including their relationship to the patient, if applicable. This context helps clarify who is providing the assessment.
  4. Proceed to assess each stage of functionality as outlined in the form. For each stage from 1 to 7, select or write down observations that best describe the patient's condition based on their abilities.
  5. In the comments section, provide any additional notes or observations that may be relevant for a comprehensive understanding of the patient's status.
  6. Finally, ensure that you print your name, designation, and sign at the bottom of the form along with the date. This step confirms that you have completed and verified the assessment.

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As the NHPCO explains, individuals with a Stage 7 FAST score are in the final and most severe stage of AD. These people have an average life expectancy of around 6 months or less.
6e Moderately severe dementia 2-3 yrs old Fecal incontinence ( occasional or more frequent over the past week) 7a Severe Dementia 18 months- newborn Speaks 5-6 words during the day. 7b. Severe Dementia 18 months- newborn.
The functional assessment staging tool (FAST) is a reliable measure commonly used to assess functional status in patients with dementia. It helps provide an efficient and comprehensive evaluation of functional ability and the potential for a functional decline over time.
FAQ item score range: 03 (higher scores indicate greater impairment; 0 = normal or never did but could do now; 1 = has difficulty but does by self or never did but would have difficulty now; 2 = requires assistance; 3 = dependent).
7A: Speaks 5-6 words during the day. 7B: Speaks only 1 word clearly. 7C: No longer can walk without assistance. 7D: Can no longer sit up. 7E: Can no longer smile.

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