Functional Assessment Staging Tool (FAST) for Dementia

The FAST scale helps doctors track how Alzheimer's disease progresses over time. It checks a patient's ability to handle daily tasks and assists in planning future care needs.

Functional Assessment Staging Tool (FAST) PDF form for assessing dementia progression
FAST

Functional Assessment Staging Tool (FAST)

The Functional Assessment Staging Tool (FAST) helps clinicians track the progression of Alzheimer's disease. This seven-stage scale focuses on a patient's ability to perform daily activities, from normal aging to severe dementia. It's a key method for determining hospice eligibility and care needs.

Category

Mental health
Diagnostic
Monitoring

Disease

Geriatrics
Assessment
Mental Health
Clinical Care

Source

(Reisberg, 1988)

Author Name

Reisberg, B. (1988)

Page Editor

Thijs Sondag

What is Functional Assessment Staging Tool (FAST)

The Functional Assessment Staging Tool (FAST) is a reliable way to track Alzheimer's progression. It helps clinicians identify specific stages of decline. This scale breaks dementia down into seven distinct stages. It ranges from normal adult function to severe dementia and focuses on a patient's ability to perform daily tasks. Evaluators look at skills like dressing, bathing, and speech. Later levels include specific substages to pinpoint exactly where a person sits on the spectrum. This detail highlights changes in mobility and communication that broader scales often miss. Administering the FAST is quick and does not need long training. It is widely used to determine hospice eligibility and plan care. Doctors and nurses find it practical for explaining disease progression to families, so it supports better decisions for future support needs and long-term planning.

FAST Scoring

The Functional Assessment Staging Tool is scored using a single approach based on seven progressive stages. Clinicians rate functional ability from 1, being a normal adult, to 7, indicating severe Alzheimer's disease. To find the right score, you identify the highest consecutive level of disability. Stages 6 and 7 include specific substages, like 6a through 6e, which track the loss of basic daily skills such as dressing or bathing. This method is handy for tracking changes over time and helps families understand exactly what to expect next as the condition moves along.

View scoring form

Advantages

Treatment planning

Develops personalised strategies based on assessment data.

Health monitoring

Tracks patient condition changes systematically.

Clear communication

Promotes active participation in healthcare assessment.

Efficient collection

Streamlines research data gathering process.

5
Minutes
16
Questions

Streamline Functional Assessment Staging Tool data collection with WeGuide

Digitise dementia staging. Automate FAST assessments and track functional decline over time for better patient care.

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