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Nutrition care plans are an important component of documentation in long-term care that ensure residents maintain acceptable parameters of nutrition. Writing the Nutrition PES Statement can be hard to get a hang of for a new dietitian. It is for this reason that the PES has captured the interest of a countless number of dysphagia clinicians and surgeons. He will have to change his diet to incorporate more fruit, vegetables, and whole grains. pes statement for dysphagia. For each of the PES statements that you have written, establish an ideal goal (based on the signs and symptoms) and an appropriate intervention (based on the etiology). Interventions should be specific stating what, where, when, and how. . Inadequate fiber intake (NI-5.8.5) related to lack of previous education about dietary fiber as evidenced by estimated daily fiber intake of 15 g. Excessive oral intake (NI-2.2) related to frequent dining out as evidenced by food record and weight gain of 10 lb in past year. Width, M. & Reinhard, T. (2018). This means that when we are swallowing, we Sign up for FREE to receive MNT Cheat Sheets for Dietitians, and be in-the-know about new podcast episodes, blogs, and other top-notch resources for dietitians and dietetic students! This article explains the key differences between a dietitian and nutritionist. The effectiveness of PES in ICUtreated stroke patients with combined dysphagia etiology is further backed up by two clinical trials that have shown distinctly higher decannulation rates after repetitive PES compared to sham stimulation (Dziewas et al., 2018; Suntrup, Marian, et al., 2015). Food Safety in Nursing Homes: What You Must Know, Kate Farms Standard: Benefits, Downsides, and Taste, Kate Farms Peptide: Nutrition, Uses, and Taste Review, 8 Best Lactose-Free Protein Powders and Shakes, Kate Farms Nutrition Shake Review, By a Dietitian, member of the food and nutrition services staff, other appropriate staff or health professionals. You can learn more about whether to address a CAA in a residents care plan, here. How is acid produced and controlled within the gastrointestinal tract? It connects to the nutrition diagnosis by the words related to. Example: "Altered Nutrition-Related Laboratory Values." A series of guiding statements and treatment algorithms Developed using a systematic process for identifying, analyzing and synthesizing scientific evidence. The consent submitted will only be used for data processing originating from this website. Inadequate mineral intake (iron) (NI-5.10.1) related to dislike of iron containing foods as evidenced by history of avoiding meat and other sources of heme iron. Hence threecomponents make up thePES statement : 1. Before there were four distinct phases: oral prep, oral, pharyngeal, & esophageal Now it is seen as a complex series of overlapping and interdependent movements to get food from mouth to stomach. The etiology describes the cause of the nutrition diagnosis in the PES statement. stream PES statements 1. Example: "Inadequate fluid intake." ;2j&WMm;&y$ykkjXR2FV{l:NM;u; a?#*--mk % Also, fluids combined with solids such as chunky soups and Jell-O with fruit should be avoided. Self-monitoring deficit (NB-1.4) The definition of etiology is the cause, set of causes, or manner of causation of a disease or condition. (Oxford Dictionary). A PES statement is needed for all nutrition assessments except those with "no nutrition diagnosis." Impaired ability to prepare foods/meals (NB-2.4). Inadequate vitamin intake (specify) (NI-5.9.1) Read More Home Health Care: The Role of the DietitianContinue. (P)roblem: the problem is the Nutrition Diagnosis, written in the standardized term you selected for the patient. diabetes).". Swallowing therapies for dysphagia are aimed at accelerating recovery of swallowing. (2016). Lastly, these interventions are monitored to assess progress and whether the expected goals are being met. CCC7Cc;]!$B5L87#v2308po(c X)= ^` ~R is reached to be achieved by 2.5 hours PA/wk and a daily consumption of 2700 kcal. 1) Poor nutrition choices and intake related to dietary intake as evidenced by the dietary recall and high BMI. SUMMARY . When writing a PES statement and there is a choice between diagnoses from different domains, priority should be given to the intake-related nutrition diagnosis, as it is considered the one more specific to the role of the RDN. Cloudflare Ray ID: 7a2883037cb2fafc 'Y8&hPqM]9'[Wwq 2w4k PV+4Nn$sIcC^K7\CJGRy,cMdevDD"D.F"OctzK4^NcXT:#T%*CW2l=p}+|Y[;svbo-!9|ATzx'[qrL#dLrT2*wmI/}y[P|$ gD {~gV? PES statements. Remember, there is no right or wrong PES statement but some are better than others. pes statement for dysphagiatitelseite zeitung erstellen. Excessive oral intake (NI-2.2) related to limited exposure to education on healthful eating as evidenced by estimated intake providing 24 oz protein and 22 carbohydrate servings daily. This article serves as a beginners guide for dietitians and dietary managers on the components of MDS Section K. Read More MDS Section K: A Beginners Guide for DietitiansContinue. dog names that go with maverick A PES statement (or Nutrition Diagnosis Statement) is a structured sentence that describes the specific nutrition problem that you (the dietitian) is responsible for treating and working toward resolving, the cause/s of the problem and the evidence that this problem exists. Says there a pes statement cancer patient . Change), You are commenting using your Twitter account. The Problem (P) the Nutr PES has a European Conformite Europeenne (CE) mark for the treat-ment of neurogenic dysphagia and US Food & Drug Administration breakthrough designation. best ipsy brands to choose. The three-part nursing diagnosis statement is also called the PES format which includes the Problem, Etiology, and Signs and Symptoms. Dietitian vs. Nutritionist: Whats the Difference? %PDF-1.4 % 20182023 Dakota Dietitians, LLC. This article explains the potential consequences of a diabetic diet for older adults living in long-term care and why a liberalized approach to diet offers greater benefits. Check out our job openings, or request your coverage today! Inadequate energy intake RT disordered eating pattern and history of anorexia nervosa AEB BMI of 16.8 and reported caloric intake at only 52% of estimated energy needs. Soares TJ, Moraes DP, de Medeiros GC, Sassi FC, Zilberstein B, de Andrade CR. What are examples of nutrition intervention? hb```f``r, cBP@F Overweight/obesity (NC-3.3) coVDH{&a|SH9%UIYDNWyPJP]0cY;xy0+98j+e(@cy6`|TY0NXm{]H[_euF7=pFYq4L$ 6yg\gZMLFf7kYx6VDjT&,9a\kS4A'RRnqq6MC6E&=,N/9cgYz(dH2# T There are approximately 70 of these nutritional diagnostic terms that cover three domains: FOOD AND/OR NUTRIENT INTAKE. Disordered eating pattern (NB-1.5) Cancer PES Statement Example: Predicted suboptimal energy intake RT increased nutrient needs from chemotherapy treatment, AEB current caloric intake at 60% of estimated needs with treatment. The PES statement is a structured sentence that describes the specific nutrition problem that the dietitian is responsible for treating and working toward resolving the cause or causes of the problem and the evidence that the problem exists. If you continue to use this site we will assume that you are happy with it. Continue with Recommended Cookies. It connects to the nutrition diagnosis by the words related to. Inappropriate intake of sugar related to frequent consumption of regular soft drinks as evidenced by hyperglycemia from blood glucose records after intake. Address: Women Parliamentary Caucus, 1st floor, National Assembly Secretariat, Islamabad, Powered by - Westminster Foundation for Democracy, Ge Smart Dispense Washer Not Dispensing Detergent, Amigo Brothers Text Dependent Questions Answers, Media Consultation on Gender and Climate Change Parliamentary Initiatives, General Assembly Session of WPC 26th January 2021, The role of Women Parliamentarians in Ending violence against women. Excessive fat intake (NI-5.6.2) swallowing difficulty. what percentage of costco products come from china; can't find paramount plus on lg smart tv; effect of the huac appearance on his career; apartments on wayne and walnut lane Michigan Academy of Nutrition and Dietetics. Contact your hosting provider letting them know your web server is not completing requests. Nutrition Diagnosis is a nutrition and dietetics practitioner's identification and labeling of an existing nutrition problem(s) that the practitioner is responsible for treating. Womens Parliamentary Caucus (WPC) is a non-partisan informal forum for women parliamentarians of the Islamic Republic of Pakistan. Intake of types of fats inconsistent with needs (specify) (NI-5.5.3) Read More What Is a Dietitian and What Do They Do?Continue. Inadequate mineral intake (specify) (NI-5.10.1), Cardiovascular disease nutrition diagnosis. It also identifies resident-specific interventions and a time frame and parameters for monitoring. Retrieved from: https://www.andeal.org/vault/2440/web/files/EAL/NCP_EAL_201711.pdf Accessed August 9, 2019. study was to assess the real-world effect of PES on dysphagia severity (assessed using the validated dysphagia severity rating scale, DSRS [ 4 , 6 ]) in patients with neurogenic dysphagia. Use tab to navigate through the menu items. Step 4: Nutrition Monitoring and Evaluation. Inadequate enteral nutrition infusion (NI-2.3) Sample PES Statements Term 1 / 24 iron deficiency anemia Click the card to flip Definition 1 / 24 Inadequate mineral intake (iron) (NI-5.10.1) related to dislike of iron containing foods as evidenced by history of avoiding meat and other sources of heme iron. BEHAVIORAL/ENVIRONMENTAL. The format of the PES statement is Problem (the nutrition diagnosis)related toEtiology (factors contributing to the nutrition diagnosis)as evidenced bySigns and Symptoms (findings from the nutrition assessment that determine the nutrition diagnosis). Care plans are person-centered meaning they empower residents with control in making their own choices and having control over their daily lives. Inconsistent carbohydrate intake (NI-5.8.4) Inadequate fiber intake (NI-5.8.5) There is no incorrect etiology statement, but it should include these general points: Like Etiology, Signs and Symptoms in the PES Statement are free text. The Nutrition Diagnosis, identifies the specific nutrition problem that the dietitian is responsible for treating and works towards resolving. PES Statements; Ethics/End-of-life References; Student Contributions; Become a guest blogger; About; . Excessive mineral intake (sodium) (NI-5.10.7). It is a nutrition problem identified by the Registered Dietitian that is expected to be treated and resolved by the nutrition team. Decreased sense of smell, salivation, and taste, can lead to decreased swallowing ability. Food- and nutrition-related knowledge deficit (NB-1.1) %%EOF What a Nutrition Diagnosis is & why it is important, If you are new to the blog, be sure to sure to check these out first to. 1992, Horner, Alberts et al. Nutrition intervention was defined as any type of intervention for children aged <5 years to improve their overall nutritional status. Commonly used signs and symptoms may include lab values, intake history, nutrition knowledge, anthropometric data, or findings from the nutrition-focused physical exam. Staples $15 Of $60. << /Length 5 0 R /Filter /FlateDecode >> In the Brilliant Dietitians blog, you can learn how to write a PES statement for each specific medical condition along with the appropriate Medical Nutrition Therapy. Be among the first to know when we post new articles and other helpful content. Click to reveal Pharyngeal electrical stimulation (PES) is a simple and safe treatment for neurogenic dysphagia. The signs and symptoms statement should support the Nutrition Diagnosis. The PES statement is a structured sentence, hence has a specific format to follow. Read More Food Safety and Sanitation Audits in Long-Term CareContinue. The Nutrition Intervention, should aim to resolve or at least attempt to improve the Etiology. The PES statement describes the (P) nutrition problem or nutrition diagnosis, (E) the etiology or root cause, (S) and the signs and symptoms of the nutrition problem. The PES statement describes the (P) nutrition problem or nutrition diagnosis, (E) the etiology or root cause, (S) and the signs and symptoms of the nutrition problem. Excessive energy intake (NI-1.3) related to frequent consumption of large portions of high-fat meals as evidenced by average daily intake of energy exceeding recommended amount by 500 kcal and 12-pound weight gain during the past 18 months. Zenker's Diverticulum. Health promotion nursing diagnoses are usually written as one-part statements because related factors are always the same: motivated to achieve a higher level of wellness though related factors may be used to improve the of the chosen diagnosis. Additional troubleshooting information here. MEDICAL DIAGNOSIS PES STATEMENT: We could write this for a medical diagnosis: PROBLEM: uncontrolled DM ETIOLOGY: refusal to use needles, self-administer insulin SYMPTOMS: elevated Glu, A1C Uncontrolled DM related to refusal to self-administer insulin, fear of needles, as evidenced by elevated Glu, A1C LAB VALUE PES STATEMENT: Inability to manage self-care (NB-2.3) https://www.ncpro.org/nutrition-diagnosis-snapshot. This category covers calorie/energy balance, fluid and nutrient intake, and intake of oral supplements, nutrition support, or bioactive substances. What is an example of a nutrition diagnosis? Please enable JavaScript in your browser to submit the form, Home Health Care: The Role of the Dietitian, Nutrition-Focused Physical Exam (NFPE): A Beginners Guide. If your PES statement is weak or doesnt address the most urgent problem, then the interventions wont be effective and the goals wont be met. Example: "Self-Monitoring Deficit." Inadequate oral intake related to decreased ability to consume sufficient energy and nutrients due to swallowing difficulties as evidenced by . Excessive energy intake (NI-1.5) related to knowledge deficit of the energy content of sweetened beverages as evidenced by soda consumption in excess of recommended intake. ", PES, not to be mistaken for PEZ candy (yes this was my first thought when I heard the term in school! Inability to manage self-care (NB-2.3) ", 2020by Brilliant Dietitians // Bethany. An Error 522 means that the request was able to connect to your web server, but that the request didn't finish. Hint: motility problems in the esophagus tend to cause dysphagia to liquids and solids, whereas as an obstructive/mucosal issue (i.e., stricture) tends to cause dysphagia to solids (i.e., breads, meats, and large pills). . Swallowing therapies for dysphagia are aimed at accelerating recovery of swallowing. Oral transit time: a critical review of . You are now ready to right your PES statement: Swallowing difficulty related to dysphagia as evidenced by constant coughing during meal times. *NOTE: the above PES statement includes "dysphagia" because it is officially documented in their medical history by a speech pathologist. *Remember that each patient and each case is different, so you always want to take the information you collected in the Nutrition Assessment to determine the best diagnosis for your patient. Nutrition diagnoses (ex. Inadequate oral intake as related to cancer treatment and associated nausea, vomiting and inability to prepare meals as evidenced by BMI: 15 kg/m2 and 20% loss of body weight in 3/12 and consuming only 2 small meals/day. Gavin Van De Walle is a registered dietitian nutritionist and holds a master's degree in human nutrition and bioenergetics. Swallowing and respiration are considered reciprocal functions. Swallowing and respiration are the only two systems in the body that share a common part of the body, namely the throat. ), stands for Problem, Etiology, and Signs/symptoms. In this patient, curing anemia, increasing muscle mass, and improving energy levels is an optimal target, effectively treating malnutrition and preventing further malnutrition. This article explains how individualized nutrition interventions from a registered dietitian can improve nutritional status and health outcomes in older adults receiving home health care. Also, make sure that you can treat the nutrition diagnosis or improve the signs and symptoms. For many newly credentialed dietitians and even the more clinically adept dietitians writing the perfect PES statement can be a challenge. "LehdMc8&NVd;@TF6v3@rnL^B(a%-`UOE3Jg _1u`owuBBAv\M|Uj]\_ @YCS %v?R1$ykoJ>W7 nu Retrieved from: https://www.andeal.org/vault/2440/web/files/EAL/NCP_EAL_201711.pdf Accessed August 9, 2019. https://eatrightmich.org/wp-content/uploads/2016/04/3.-Trepasso.pdf, https://www.andeal.org/vault/2440/web/files/EAL/NCP_EAL_201711.pdf. As previously mentioned, anything that melts such as ice cream, popsicles, frozen yogurt, and ice cubes should be avoided. Dysphagia PES Statement Example: Swallowing difficulty RT history of esophageal stricture AEB observed coughing and choking while eating and SLP evaluation. . Inadequate enteral nutrition infusion (NI-2.3) 2. Read More Refeeding Syndrome: Causes, Symptoms and TreatmentContinue. Unintended weight loss related to inadequate insulin due to type 1 diabetes as evidenced by rapid 15-pound weight loss during the past several weeks and elevated A1C of 10%. It consists of the problem (P), the etiology (E), and the signs or symptoms (S). PES Statements, on the other hand, serve as an entire section that can be found on the ADIME note. All Rights Reserved. NAVY STRIPE () 36. They are a crucial component of documentation that help ensure residents maintain acceptable parameters of nutritional status. The Essential Pocket Guide for Clinical Nutrition, 2nd Ed. Here are a few PES statement examples using the frequently used nutrition diagnoses. Goal 1: Nutritional needs will be met by tube feedings 100% of the time. Ge Smart Dispense Washer Not Dispensing Detergent, Inadequate mineral intake (specify) (NI- 5.10.1) endstream endobj 98 0 obj <>/PageLabels<>]>>/Pages 95 0 R/Type/Catalog>> endobj 99 0 obj <>/MediaBox[0 0 720 405]/Parent 95 0 R/Resources 110 0 R/Rotate 0/Type/Page>> endobj 100 0 obj <>stream Intake of types of carbohydrate inconsistent with needs (specify) (NI-5.8.3) What is a PES statement at the NCP? This article gives you the tools you need to confidently write the perfect PES statement, every time. Dysphagia is common after stroke, associated with increased death and dependency, and treatment options are limited. Unfortunately, many dietitians or dietary managers working in long-term care may not know how to write a strong nutrition care plan or wonder what information should be included when writing one. Physical inactivity (NB-2.1) Dv;c:f0IGKzi4[']&.9Uit =!T"OOO+ 6%e} fR+*(**TOTa&i~-Kjo>\on[X z>?R idJK1*>:9yI[pNP"_v0;ZI2:~I8z^ly)HzPfJe[]t;- .bl%YJ[RM` =t7[%Soj~&Y}k:[3%zihB:H]1G*w*of9VVm[@c-yq;+[RUL'\Vo1o7/5/0 +cX]g{-b\*zu[m}~N?Gan2~&XXEc,E-@zc=?qvT-cbD}ig)saKc;=5>AAWBh.ZNl'faem y1ak Sample PES Statements (problem, etiology, signs and symptoms using some NCP terminology) This statement is provided as an example only, and will not apply to all individuals: Inadequate dietary calcium intake, related to food and nutrition knowledge deficit concerning food and supplemental sources of calcium, as evidenced by avoidance of milk and milk products. The diagnosis is selected from a set of standardized nutrition diagnostic terms/codes. All Rights Reserved. basis soap vs dove; pyramid state park county; eaton county accident today; cochise county over the counter tax liens If swallowing is proven unsafe, EN should be administered. PES FORMAT. Become an Expert at Writing PES Statements! The Nutrition Care Process (NCP) is a standardized approach intended to guide registered dietitians in providing high-quality nutrition care. The Essential Pocket Guide for Clinical Nutrition Mary Width 2020-01-22 . (2016). 97 0 obj <> endobj The E in the PES Statement stands for Etiology. Module 17 - Domain II: Determine Specific Feeding Needs, Nutrition Monitoring & Evaluation After reviewing Module 17 lecture, you should be able to: Determine specific feeding needs. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. Contact your hosting provider letting them know your web server is not completing requests. Inadequate oral intake (NI-2.1) (2012) 2(1), 3343 ISSN 1758-2024 33 SUMMARY The delivery of good nutritional care is a fundamental element of the management of individuals with Huntingtons disease and all patients with Huntingtons Writing nursing diagnoses using the PES format. The PES statement is part of the Nutrition Care Process (NCP), a systematic approach to providing high-quality nutrition care. The Nancy Fort Campbell, Questions: 1. Lq@FTY}X6xYp'"]JbnGmggGtAFbm! endstream endobj 101 0 obj <>stream Nutrition diagnoses (ex. hbbd``b`Z$sN r$ HoI,y )@H3012| ``X ] This category includes disorders of malnutrition, weight balance, biochemical status, and functional status. Cancer PES Statement Example: Predicted suboptimal energy intake RT increased nutrient needs from chemotherapy treatment, AEB current caloric intake at 60% of estimated needs with treatment. -Gastric acids are produced by parietal cells in the stomach, secreting hydrochloric acid and intrinsic factor. Intake of types of fats inconsistent with needs (specify) (NI-5.6.3) Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. CLINICAL. For many newly credentialed dietitians and even the more clinically adept dietitians writing the perfect PES statement can be a challenge. Understanding the intricacies of the NCP will help you write a better PES statement. How many biogeographical classification of India? Swallowing difficulty RT history of esophageal stricture AEB observed coughing and choking while eating and SLP evaluation. Pharyngeal electric stimulation (PES) is a novel treatment for poststroke dysphagia that has shown promise in 3 pilot randomized controlled trials. An APES statement is a nutritional problem Malnutrition related to Dysphagia evidenced by Megaloblastic Anemia, Muscle wasting and decreased energy. Dietitians are qualified professionals who can offer expert nutrition and dietary advice. The most likely cause is that something on your server is hogging resources. The PES Statement is one part of the ADIME note, the formal documentation of your entire encounter with your patient or client. children, dysphagia can occur during any phase of the swallowing process, as well as include avoidance or severe dislike of specific foods or different food textures, tastes or temperature. The most likely cause is that something on your server is hogging resources. Have the patient point exactly where. 138.68.249.225 E: May include: Changes in the patients clinical status, changes in course of disease, end-of-life care if patient or family does not desire nutrition support. Academy of Nutrition and Dietetics (AND). 2009, Humbert, McLaren et al. My journey and experiences, to help your journey. A Mathematician's Lament Reddit, Underweight (NC-3.1) Not ready for diet/lifestyle change (NB-1.3) inconsistent carbohydrate intake) are different from medical diagnosis (ex. You may list more than one etiology in the statement. As a result, the web page can not be displayed. The Nutrition Care Process (NCP) is a standardized approach intended to guide registered dietitians in providing high-quality nutrition care. 11 PES Statement Examples. FNES 365 Writing PES Statements Assignment NAME When writing PES statements, you are assessing all of the available information about your patient in order to arrive at a nutrition diagnosis. Food- and nutrition-related knowledge deficit (NB-1.1) No regulatory agencies require a PES statement, but its considered the gold standard for communicating and documenting nutrition diagnoses. hbspt.cta.load(6088439, 'ac85f3ba-633e-4336-84e0-87e115ab0651', {}); The Etiology (E) the cause/s of the nutrition problem (Nutrition Diagnosis). If triggered, determine whether the resident is at risk of developing, or currently has a weakness or need that is associated with that CAA, and how the risk, weakness, or need affects the resident. 3 Steps to become an Expert in Medical Nutrition Therapy TODAY! Statement Etiology (Cause/Contributing Factors) Signs and Symptoms (Defining characteristics) NI-5.8.3 Inappropriate intake of types of CHO "Intake of the type or amount of carbohydrate that is more or less than the established reference standards or recommendations based on physiological needs." Note: Types of carbohydrate can refer post-extubation dysphagia (PED) is commonly observed in intensive care unit (ICU) patients. As needs change and goals are met, care plans must be reviewed and revised by the IDT team. 0 This article will discuss what the exam consists of, the types of questions you will be asked, as well as some tips to help you study pass the RD exam. Specific questions that food and nutrition professionals should use in evaluating the PES they have developed include the following: Examples of nutrition diagnosis statements (PES) are: Terminology section in the left side bar). 1. PES Statements Inadequate intake from enternal nutrition related to use of Isosource HN at 75 mL/hr as evidenced by patient care summary sheet and lab values. Here you may identify nutrition problems that are related to medical and physical conditions. This article provides a detailed overview for dietitians working in long-term care on when and what to chart to improve resident care and prevent costly citations from surveyors. . Copyright 2023 - Dietitians On Demand | Site by Key Web Concepts, Understanding The Risks Of 1099 Contract Work, Food Sustainability: How It Can Enhance Our Future, Nutrition Care for the Patient with Long COVID, Webinar: Perfecting Your PES Statement | 1 CPEU. v |uC59 ExCpoAC0".X3t:sNA'BohND@S"C "?nHq 99e6DKE+hc#h&wY9Om[yIh!(*OonfoaGYLiR~cF4BlDk-v9Q7/4CcBr:~Oq5[B9PfF0`w&$Zo`yi2(D$xz=i aL#cZsO+Wd.fda>}g$O5 What Are the Responsibilities of the Long-Term Care Dietitian? A common intake diagnosis would be related to the intake of too much or too little food or fluids in comparison to the patient's estimated needs. Here are a few PES statement examples using the frequently used nutrition diagnoses. Inadequate mineral intake (specify) (NI-5.10.1) You may list multiple signs/symptoms in the PES Statement. Post-extubation dysphagia (PED) recently became a growing concern as a major risk factor for extubation failure and significant contributor to poor patient outcomes with prevalence rates ranging from 12% to 69%, being highest in neurological patients (93%). Clarify if it is a dysphagia to solids/liquid/pills, or all three. a country boy can survive performed by the flaming lips; air new zealand tasman flexi fare; haunted wallace id; btob popularity ranking; golden one center covid requirements