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FUNCTIONAL ASSESSMENT STAGING (FAST)1 (See reverse for scoring guideline)RESIDENT NAME:DATE OF BIRTH (Y/M/D):FACILITY:INFORMANT NAME:RELATIONSHIP TO PATIENT:(if applicable)(if applicable)1. No difficulties,.

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How to fill out the Functional Assessment Staging Fast online

This guide provides comprehensive instructions for completing the Functional Assessment Staging Fast (FAST) form online. It aims to support users in accurately assessing cognitive and functional capacities in a structured manner.

Follow the steps to complete the FAST form online.

  1. Click the ‘Get Form’ button to access the FAST form and open it in your document editor.
  2. Begin by entering the resident's name in the designated field. Accurate identification is crucial for proper documentation.
  3. Note the date of birth in the ‘DATE OF BIRTH (Y/M/D)’ field. Ensure the format is in year, month, day.
  4. Fill in the facility name where the resident is located. This information helps to track the context of the assessment.
  5. Provide the informant's name and relationship to the patient, if applicable. This identifies who is providing the assessment information.
  6. Review the detailed assessment stages listed in the form. Select the appropriate stage that reflects the resident's current functional abilities based on observations.
  7. Add any relevant comments in the comments section. This can include specific observations or additional context that may assist healthcare providers.
  8. Complete the form by entering the name of the individual filling it out, along with their designation and signature.
  9. Finally, enter the date of completion in the 'DATE (Y/M/D)' field and ensure all fields are accurately filled before submission.
  10. Once completed, you may save changes, download, print, or share the filled-out form as required.

Complete the necessary documents online today for efficient management of functional assessments.

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Rapidly progressive dementias (RPDs) are dementias that progress quickly, typically over the course of weeks to months, but sometimes up to two to three years. RPDs are rare and often difficult to diagnose. Early and accurate diagnosis is very important because many causes of RPDs can be treated.

The Functional Assessment Staging Tool (FAST) was developed by Dr. Barry Reisberg, an expert in dementia and Alzheimer's disease. The scale is an aid to track the progression of Alzheimer's dementia and determine appropriate care plans.

Stage 1 means that an individual is free of cognitive and functional decline. In short, they are mentally healthy, normal adults of any age. If you're a family member of someone with dementia, you yourself are more than likely at Stage 1.

The Functional Assessment Staging Tool (FAST) was developed by Dr. Barry Reisberg, an expert in dementia and Alzheimer's disease. The scale is an aid to track the progression of Alzheimer's dementia and determine appropriate care plans.

The functional assessment staging tool (FAST) is a reliable measure commonly used to assess functional status in patients with dementia. It provides an efficient and comprehensive evaluation of functional ability and the potential for a functional decline over time.

Stage 6: Moderately Severe Dementia During stage six of the FAST scale, your loved one will need assistance with basic care needs like bathing, using the restroom, and dressing themselves. They may experience incontinence at this stage, as well as difficulties with mobility and speech.

Urinary incontinence ( occasional or more frequent) 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 Scale (FAST) is a screening test to quantitatively assess the degree of disability and to document changes that occur over time. It is not intended to serve as the sole criterion for diagnosing dementia or to differentiate between various forms of dementia.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232