Families supporting a loved one with advanced dementia often wonder when hospice becomes appropriate. One tool physicians use to evaluate eligibility is the Functional Assessment Staging Tool (FAST). To qualify for hospice due to dementia, the patient typically must be at FAST Stage 7, along with showing additional clinical indicators of decline.
FAST Stage 7 Criteria
FAST 7 reflects severe cognitive and functional decline. It includes:
- Limited speech
(Typically fewer than six words a day, eventually only one word or none) - Loss of ambulation
(Cannot walk without significant assistance) - Loss of ability to sit up independently
- Loss of ability to smile
- Loss of ability to hold head up independently
According to Medicare guidelines, hospice eligibility for dementia is generally met at FAST Stage 7C — when a patient can no longer walk without personal assistance due to neurological decline. This is often one of the most noticeable changes for families.
When a patient reaches FAST 7, they require full support for all activities of daily living. They may also have weight loss, frequent infections, difficulty swallowing, falls, and increased sleeping. These factors help confirm hospice eligibility.
Why FAST 7 Matters
FAST 7 helps physicians determine whether dementia has progressed to the point where comfort-focused care is most beneficial. Hospice at this stage focuses on:
- Managing pain and agitation
- Supporting nutrition and comfort
- Reducing hospital visits and procedures
- Enhancing dignity and emotional support
- Providing guidance for family caregivers
Compassionate Dementia Care Across Southern California
At Salus Hospice, serving Orange County, Los Angeles, Riverside, San Bernardino, and San Diego, our team works closely with families and physicians to assess eligibility and create personalized, compassionate care plans.
If you believe your loved one may be approaching FAST 7 or showing signs of advanced decline, we’re here to help.
Call Salus at 888-881-4822 to speak with a care specialist.
