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The patient must be a level ≥ 7 on the Functional Assessment Staging Tool (FAST) and possess co-morbid and/
or secondary conditions. Ultimately, the combined effects of the Alzheimer’s Disease (stage 7) and any co-morbid and/or secondary condition(s) should be such that most beneficiaries with Alzheimer’s Disease and similar impairments would have a prognosis of six months or less. Secondary and co-morbid condition(s) themselves may be associated with a new set of structural/functional impairments that may or may not respond/be amenable to treatment.
1.) Patient should be a level less than or equal to a 7 on the Functional Assessment Staging Tool (FAST) and possess co-morbid and/or secondary conditions.
a. Unable to ambulate without assist
b. Unable to dress without assist
c. Unable to bath without assist
d. Urinary and fecal incontinence, intermittent or
e. No meaningful verbal communication
f. The ability to speak is limited to 6 or less intelligible
2.) The following may have occurred in or increased in the last 12 months
a. Complications caused by co-morbid conditions
b. Complications caused by pressure ulcers
c. Complications caused by delirium
3.) Related disorders
a. Body mass index (BMI) less than or equal to 22 kg/m2
b. Karnofsky Performance Status (KPS) less than or
equal to 40%