I've been struggling a bit with my company's interpretation of the FAST scale for dementia. As you all know, a patient must be at least a 7A to qualify for a hospice dementia diagnosis. 7A describes as follows: Person speaks 5-6 intelligible words in the course of a day or an intensive interview.
I interpret most things quite literally and the word "intelligible" literally means the word is understood by the listener. I have a NH patient who is quite verbal and easily understood, but she makes little sense. She is oriented x 1, repeats herself frequently, will readily tell you "I'm hungry", "They haven't fed me and they better not bill me for it either" (not true btw- she eats all the time) and will answer questions about her family to some extent. Memory is very poor- she calls out frequently for her deceased husband as though he were in the next room when in actuality, she attended his funeral 2-3 yrs ago. REAL conversation is limited but I have trouble classifying her as a 7A. What do you all think?