What is the Functional Assessment Staging Test (FAST)?


When caring for individuals with Alzheimer's disease or other dementias, it's crucial to understand how the disease progresses. The Functional Assessment Staging Test (FAST) is a tool designed to help caregivers and healthcare professionals do just that.

Imagine you're trying to gauge how far along a tree has grown in its life cycle, from a small sapling to a mature tree. Similarly, the FAST scale measures the stages of Alzheimer's disease, from its earliest signs to the most advanced stages. Developed by Dr. Barry Reisberg, FAST provides a detailed framework for understanding and tracking the progression of dementia.

The 7 Stages


FAST breaks down the progression of Alzheimer's disease into seven stages, each describing different levels of functioning and decline.

Stage 1: Normal Adult

This is the baseline, where there are no noticeable issues with memory, orientation, or functioning. It's like a tree in full bloom with no signs of wilting or decay.

Stage 2: Normal Older Adult

At this stage, very mild memory lapses may occur, similar to occasionally forgetting where you placed your keys. It's a common part of aging and not necessarily a sign of dementia.

Stage 3: Early Dementia

Memory and concentration issues become more apparent. A person might frequently forget appointments or lose items. Think of a tree starting to show the first signs of aging, like a few brown leaves.

Stage 4: Mild Dementia

More noticeable difficulties in managing finances, traveling to new locations, and remembering recent events. It's like a tree with several branches that have started to wilt.

Stage 5: Moderate Dementia

Individuals need help with day-to-day activities like choosing appropriate clothing and remembering basic information. Imagine a tree that needs constant care to stay upright and healthy.

Stage 6: Moderately Severe Dementia

Here, there are significant issues with basic activities such as dressing, bathing, and managing personal hygiene. The tree now has many branches that are weak and need support.