{"id":2341,"date":"2015-06-26T15:38:28","date_gmt":"2015-06-26T15:38:28","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gerfast\/"},"modified":"2026-03-18T19:46:20","modified_gmt":"2026-03-18T19:46:20","slug":"gerfast","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/gerfast\/","title":{"rendered":"Functional Assessment Scale Tool (FAST)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>The FAST scale is a functional scale designed to evaluate patients at the more moderate-severe stages of dementia\u00a0when the MMSE no longer can reflect changes in a meaningful clinical way.<br \/>\n<!--more--><br \/>\n<b>Functional Assessment Scale (FAST)\u00a0<\/b><\/p>\n<ol>\n<li>Normal adult: No difficulty either subjectively or objectively.<\/li>\n<li>Normal older adult: Complains of forgetting location of objects. Subjective work difficulties.<\/li>\n<li>Early dementia: Decreased job functioning evident to co-workers. Difficulty in traveling to new locations. Decreased organizational capacity.<\/li>\n<li>Mild dementia: Decreased ability to perform complex task, (e.g., planning dinner for guests, handling personal finances, such as forgetting to pay bills, etc.)<\/li>\n<li>Moderate dementia: Requires assistance in choosing proper clothing to wear for the day, season or occasion, (e.g. pt may wear the same clothing repeatedly, unless supervised).<\/li>\n<li>Moderately severe dementia: Occasionally or more frequently over the past weeks, \u00a0for the following:\n<ol>\n<li>Improperly putting on clothes without assistance or cueing<\/li>\n<li>Unable to bathe properly (not able to choose proper water temp)<\/li>\n<li>Inability to handle mechanics of toileting (e.g., forget to flush the toilet, does not wipe properly or properly dispose of toilet tissue)<\/li>\n<li>Urinary incontinence<\/li>\n<li>Fecal incontinence<\/li>\n<\/ol>\n<\/li>\n<li>Severe dementia:\n<ol>\n<li>Ability to speak limited to approximately &lt;\/= 6 intelligible different words in the course of an average day or in the course of an intensive interview.<\/li>\n<li>Speech ability is limited to the use of a single intelligible word in an average day or in the course of an intensive interview<\/li>\n<li>Ambulatory ability is lost (cannot walk without personal assistance)<\/li>\n<li>Cannot sit up without assistance (e.g., the individual will fall over if there are not lateral rests [arms] on the chair.)<\/li>\n<li>Loss of ability to smile.<\/li>\n<li>Loss of ability to hold up head independently.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><b>References:<\/b><\/p>\n<ol>\n<li>Reisberg B. Functional assessment staging (FAST).\u00a0Psychopharmacol Bull. 1988;24(4):653-9.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/3249767\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Na HR, Kim SY, Chang YH, Park MH, Cho ST, Han IW, Kim TY, Hwang SA. Functional assessment staging (FAST) in Korean patients with Alzheimer&#8217;s disease.\u00a0J Alzheimers Dis. 2010;22(1):151-8.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20847407\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Budin\u010devi\u0107 H, Me\u0161trovi\u0107 A, Demarin V. Stroke Scales as Assessment Tools in Emergency Settings: A Narrative Review. Medicina (Kaunas). 2022 Oct 27;58(11):1541. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36363498\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Jul 22, 2015.<br \/>\nUp-date Mar 18, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[784],"tags":[785,452,786,735,734,457],"class_list":["post-2341","post","type-post","status-publish","format-standard","hentry","category-family-practice","tag-assessment","tag-escala","tag-fast","tag-funcional","tag-functional","tag-scale"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2341","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2341"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2341\/revisions"}],"predecessor-version":[{"id":10719,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2341\/revisions\/10719"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2341"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2341"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2341"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}