Why FEES? The Advantages Are Clear

FEES (Fiberoptic Endoscopic Evaluation of Swallowing) is a cost-effective and convenient tool for assessing swallowing disorders that provides direct visualization of the swallow in the patient's natural eating environment.

No Patient Transport

Evaluation happens at your facility, eliminating the logistics and risks associated with transporting medically complex residents.

No Radiation

FEES provides direct visualization without radiation exposure.

Evaluate the Patient in Their Real Environment

Assess swallowing using the patient's usual positioning, diet textures, and clinical environment.

Immediate Clinical Insight

Findings are available in real time, allowing the care team to make informed decisions quickly.

Learn more about FEES

Why Timely Dysphagia Assessment Matters

Dysphagia is common in older adults and can contribute to aspiration, malnutrition, dehydration, and avoidable complications. Instrumental assessment can provide the clinical information needed to develop an individualized, evidence-based plan of care.

50–70%

of elderly patients with dysphagia silently aspirate, meaning aspiration is missed on a bedside evaluation of swallowing

75–80%

of all aspiration pneumonia cases occur in adults 65 and older

50–75%

of older adults with dysphagia who rely on thickened liquids experience dehydration

50–60%

of patients with dysphagia are diagnosed with malnutrition at discharge from acute hospital stay — often related to overly restricted modified diets

40–70%

of patients in long-term care or nursing homes with dysphagia are malnourished

10–30%

30-day mortality rate is between 10% to 30% for nursing home residents who develop pneumonia

View the Research

When Should You Consider a FEES Evaluation?

If your patient presents with any of the following, a FEES referral may be appropriate.

Signs & Symptoms

Coughing during meals

Difficulty swallowing medications

Food sticking

Fatigue during meals

Unexplained weight loss

Dehydration or malnutrition

Excessive secretions

Clinical History

Recurrent pneumonia

Stroke

Dementia

Parkinson's disease

Progressive neurological disease

Complex Patients

Trach/vent dependence

Poor head/trunk control

Known anatomical abnormalities

Not sure whether FEES is appropriate? Contact Bayside to discuss your patient.