HD and the Total Functional Capacity (TFC) ScaleThe progression of HD is divided into five stages defined by the patient's score on the Total Functional Capacity (TFC) Scale, which details level of function in the domains of workplace, finances, domestic chores, activities of daily living and requirements for unskilled or skilled care. The interdisciplinary palliative care team assists patients and their families in articulating their wishes and the goals of care, and developing a plan to achieve those goals. When a person with HD is no longer able to live independently, palliative care turns toward adaptation to advanced illness and disability and issues of life completion and closure, while continuing to provide comfort and support for the person with HD and his or her family.
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