Functional Assessment Staging (FAST) scale:
A
assesses the decline of patients with Alzheimer’s disease.
| 1... normal adult |
No functional decline. |
| 2... normal older adult |
Personal awareness of some functional decline. |
| 3... early Alzheimer’s disease |
Noticeable deficits in demanding job situations. |
| 4... mild Alzheimer’s |
Requires assistance in complicated tasks such as handling finances, planning parties, etc. |
| 5... moderate Alzheimer’s |
Requires assistance in choosing proper attire. |
| 6... moderately severe Alzheimer’s |
Requires assistance dressing, bathing, and toileting. Experiences urinary and fecal incontinence. |
| 7... severe Alzheimer’s |
Speech ability declines to about a half-dozen intelligible words. Progressive loss of abilities to walk, sit up, smile, and hold head up. |
Developed by NYU Medical Center’s Aging and Dementia Research Center,
Barry Reisberg, MD
Karnofsky Performance Status
| Normal, no complaints, no evidence of disease |
100% |
| Able to carry on normal activity, minor signs of symptoms of disease |
90% |
| Normal activity with effort, some signs of symptoms of disease |
80% |
| Cares for self, unable to carry on normal activity or to do active work |
70% |
| Requires occasional assistance but is able to care for most of own needs |
60% |
| Requires considerable assistance and frequent medical care |
50% |
| <50% = Hospice Referral |
|
| Disabled, requires special care and assistance |
40% |
| Severely disabled, hospitalization indicated although death not imminent |
30% |
| Very sick, hospitalization necessary, active supportive treatment necessary |
20% |
| Moribund, fatal processes progressing rapidly |
10% |
| Dead |
0% |
The Karnofsky Performance Status Scale is one objective means of documenting a patient’s clinical decline. Most patients with a Karnofsky scale of less than 50% are eligible for hospice care.
Palliative Performance Scale
Normal activity & work
No evidence of disease |
Full |
100% |
Normal activity & work
Some evidence of disease |
Full |
90% |
Normal activity with effort
Some evidence of disease |
Full |
80% |
Unable to do normal job/work
Significant disease |
Reduced |
70% |
Unable to do hobby/housework
Significant disease |
Reduced |
60% |
Unable to do any work
Extensive disease |
Mainly sit/lie |
50% |
Unable to do most activity
Extensive disease |
Mainly in bed |
40% |
Unable to do any activity
Extensive disease
Reduced oral intake |
Totally bed bound |
30% |
Unable to do any activity
Extensive disease
Minimal oral intake |
Totally bed bound |
20% |
Unable to do any activity
Extensive disease
Mouth Care Only |
Totally bed bound |
10% |
This is an abbreviated version of the Palliative Performance Scale (PPSv2) version 2, modified for use in this guide only.
Copyright © 2001 Victoria Hospice Society.
Blank scaling forms are available from Hospice of Marion County Community Liaisons by calling (352) 873-7400. |
