FEES Swallow Solutions

Diagnose Dysphagia with Accuracy Using FEES– Travel-Free, Expert Assessments

At Powerback, we offer Flexible Endoscopic Evaluation of Swallowing (FEES) alongside a full suite of rehabilitation therapy services.

FEES-trained endoscopists use fiberoptic endoscopic instrumentation to inspect the functions of a patient’s upper airway and swallowing mechanism. Unlike a simple screening exam, FEES is a comprehensive assessment of the upper aerodigestive functions involved in swallowing.

The result? Precise diagnosis for superior patient care.

What happens during a FEES procedure?

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Flexible Endoscopic Evaluation of Swallowing (FEES) is a valuable tool for diagnosing the causes of swallowing difficulties and prescribing appropriate modifications to food and liquids. During the procedure, a thin, flexible tube called a scope is passed through the patient's nose to image the throat as they swallow different foods and drinks. FEES is portable, sensitive, and safe, providing a clear view of the swallowing process.

The procedure lasts 15 minutes or less and can be performed in a treatment room or in the comfort of the patient’s own room. This convenience ensures minimal disruption to the resident’s routine while delivering accurate and essential diagnostic information.

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Why offer Powerback's FEES at your care center?

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Gain marketing advantages. Expand diagnostic options for swallowing safety and efficiency for physicians, families, and patients.
Promote faster scheduling. Cut down time to less than a week between referral and diagnostic test.
Enable in-house testing. No need to schedule transportation or have residents leave the facility. Secure cost savings.
Avoid transportation costs and hospital bills, decrease money and staff time for food preparation with upgraded diet textures and liquid consistencies when clinically appropriate, and assist with capturing swallowing deficits.
Acquire accurate diagnosis and patient capture. Identify swallowing deficits effectively and efficiently.
Reduce rehospitalization. Identify deficits and target treatment earlier and more effectively.
See immediate results. Results of the evaluation are communicated directly to the center. The report is generated and uploaded into EMR in less than one business day.
Showcase advanced equipment. Our FEES system uses fiberoptic technology and high-definition image quality during the study with color images included in each report.
Enhance patient satisfaction. Faster scheduling, in-house testing, cost savings, accurate diagnosis, reduced rehospitalization, and immediate results leads to improved quality of life!

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What are the indications for a FEES referral, and how can it benefit residents in a senior living center?

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A FEES (Flexible Endoscopic Evaluation of Swallowing) referral may be helpful for someone exhibiting the following symptoms:

Coughing or choking with eating or drinking
Complaints of food sticking in the throat
Difficulty or pain while swallowing
Unexplained weight loss

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A FEES is not just for ruling out aspiration; it can also:

Help identify what parts of the oropharynx might be impaired or structural abnormalities
Show if certain positions can help someone swallow more safely
Assist if your patient has a medical condition that puts them at a high risk of dysphagia, even if there are no current or overt symptoms
Support a patient’s need for additional referrals, such as ENT, GI, or oncology

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This evaluation may also be appropriate under the following conditions:

Those who are bedbound, in isolation, or unable to be transported
Those who require limited exposure to radiation
Those on a ventilator or with a tracheostomy

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What are the requirements to become a Powerback FEES Endoscopist?

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Powerback is one of the few rehab providers that offers FEES alongside comprehensive therapy services. We take pride in our competency and training program, which allows our teams to stay true to our mission of improving the lives we touch.

Speech-Language Pathologists at Powerback who want to become FEES Endoscopists undergo a detailed training program that includes CEUs and hands-on training with volunteers and patients. To maintain the integrity of our FEES program, we conduct in-person competency checks, auditing, and ongoing mentorship throughout their careers with Powerback Swallow Solutions.

At Powerback, we believe that our clinicians have a career-long commitment to learning, as technological advancements are ever-changing. To further support our clinicians, we provide quarterly educational calls as well as opportunities for CEUs and advanced skills training, ensuring they maintain their expertise beyond their initial FEES Training.

To view SLP career opportunities with Powerback, please visit our careers portal:

Careers Portal

Bring FEES to Your Center

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