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. On a nectar thick diet, individuals should avoid all thin liquids that have not been thickened. Inadequate protein-energy intake (NI-5.3) Vw Tiguan Interior Lights Wont Turn Off, hb```f``r, cBP@F PES Statements: Example P: Less than optimal enteral (or parenteral) nutrition composition or modality: The nutrient components or delivery is inconsistent with evidenced-based practices. 20. A series of guiding statements and treatment algorithms Developed using a systematic process for identifying, analyzing and synthesizing scientific evidence. Frequently used nutrition diagnoses include: inadequate energy intake. Food- and nutrition-related knowledge deficit (NB-1.1) There are approximately 70 of these nutritional diagnostic terms that cover three domains: FOOD AND/OR NUTRIENT INTAKE. 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. 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 Width, M. & Reinhard, T. (2018). The definition of etiology is the cause, set of causes, or manner of causation of a disease or condition. (Oxford Dictionary). An automobile changes its speed from 0 to 15 m\mathrm{~m}m / $\mathrm{s}$0 to 15 m/s at time interval 1.0 $\mathrm{~s}$1.0 s . PES Statements Inadequate intake from enternal nutrition related to use of Isosource HN at 75 mL/hr as evidenced by patient care summary sheet and lab values. The goal of the diet is to find the safest and most enjoyable foods for you to eat. (2017). Here are a few PES statement examples using the frequently used nutrition diagnoses. It is an important skill for a dietitian to identify the Signs and Symptoms that demonstrate that a Nutrition Diagnosis exists. 97 0 obj
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Philadelphia, PA: Wolters Kluwer. pes statement for dysphagia A PES statement (or Nutrition Diagnosis Statement) is a structured sentence that describes the specific nutrition problem that you (the dietitian) is responsible for treating and working toward resolving, the cause/s of the problem and the evidence that this problem exists. Start your day off right, with a Dayspring Coffee They describe the signs that the patient has this problem and also indicate the severity of the problem. The PES statement is part of the Nutrition Care Process (NCP), a systematic approach to providing high-quality nutrition care. For many newly credentialed dietitians and even the more clinically adept dietitians writing the perfect PES statement can be a challenge. Altered nutrition-related laboratory values (specify) (NC-2.2) The PES statement describes the nutrition problem, its root cause, and evidence for the diagnosis. Inadequate parenteral nutrition infusion (NI-2.7) The information provided on the Dietitian Mentor website is for educational purposes only. 'Y8&hPqM]9'[Wwq 2w4k PV+4Nn$sIcC^K7\CJGRy,cMdevDD"D.F"OctzK4^NcXT:#T%*CW2l=p}+|Y[;svbo-!9|ATzx'[qrL#dLrT2*wmI/}y[P|$ gD
{~gV? Increased nutrient needs (NI-5.1) (protein) related to increased protein loss through negative pressure therapy as evidenced by estimated protein intake meeting approximately 50% of estimated requirement, and delayed wound healing. Use tab to navigate through the menu items. It connects to the nutrition diagnosis by the words related to. The use of any information found on this is site is solely at your own risk. Excessive energy intake (NI-1.3) related to frequent consumption of large portions of high-fat meals as evidenced by average daily intake 500 kcal greater than recommended and 12-pound weight gain over 18 months. Malnutrition (NI-5.2) Often there are multiple possible nutrition diagnoses, so keep the following in mind when writing the diagnosis for your patient: The diagnosis should be identified from the data and history you collected in the nutrition assessment. Address these areas and document whether to develop a care plan. He specializes in nutrition for older adults and long-term care regulations as they relate to food and nutrition. Some of the risk factors for aspiration include individuals with dysphagia, decreased mental status, gastroesophageal reflux disease, stroke, Parkinson's disease, dementia, multiple sclerosis, absence of teeth, decreased alertness due to medications, medical conditions, or a combination of these conditions, and poor oral hygiene.3 The risk of 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. Excessive fat intake (NI-5.5.2) Read More What Are the Responsibilities of the Long-Term Care Dietitian?Continue. The PES statement describes the nutrition problem, its root cause and evidence for the diagnosis. 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. . We use cookies to ensure that we give you the best experience on our website. Pharyngeal electric stimulation (PES) is a novel treatment for poststroke dysphagia that has shown promise in 3 pilot randomized controlled trials. Inconsistent carbohydrate intake (NI-5.8.4) cuervo bopoha ( ) . Inadequate mineral intake (specify) (NI-5.10.1), Cardiovascular disease nutrition diagnosis. There are 3 classifications of the nutrition diagnosis: Intake, clinical, and behavioral. Clarify if it is a dysphagia to solids/liquid/pills, or all three. The problem, or nutrition diagnosis, is based on the most urgent issue, with verbiage taken directly from the nutrition diagnostic terminology sheet (1). The PES is made up of the inferior pharyngeal constrictor (IPC), the CPM, and the most proximal cervical esophagus (Figure 2). Writing excellent PES Statements and Nutrition Diagnoses takes practice! 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. Inability to manage self-care (NB-2.3) ), stands for, The PES Statement links the nutrition problem (the diagnosis) to the etiology (the cause of the problem) and the signs & symptoms with the words "related to"and "as evidenced by. Posterior tongue retraction Brainstem disinhibition 3. 2J=_r=9j#"X)8Z%
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1992, Horner, Alberts et al. Practice PES Statement #3 Now for our final example. Intake of types of fats inconsistent with needs (NI-5.6.3) related to food and nutrition-related knowledge deficit as evidenced by frequent consumption of butter and lard. (LogOut/ Dysphagia is a common disorder in neurological and non-neurological intensive care unit (ICU) patients and can lead to aspiration pneumonia, prolonged ventilation, and delayed extubation. Here are a few PES statement examples using the frequently used nutrition diagnoses. This article serves as a beginners guide on how to confidently conduct a thorough NFPE. The Dietitian's Easy Guide to Nutrition Assessment, A Guide to the Nutrition-Focused Physical Exam. 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. 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. Not ready for diet/lifestyle change (NB-1.3) This article lists five of the most important long-term care dietitian responsibilities. m/s . The problem (diagnosis) uses standardized language which can be found on eNCPT website. How do you write a nutrition intervention statement? 138.68.249.225 Just another site pes statement for dysphagia Sample PES Statements (problem, etiology, signs and symptoms using some NCP terminology) These statements are provided as examples only and will not apply to all individuals. The Nutrition Diagnosis, identifies the specific nutrition problem that the dietitian is responsible for treating and works towards resolving. As a result, the web page can not be displayed. The etiology is the cause or contributing risk factors of 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. 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. What are examples of nutrition intervention? Methods The Nutrition Diagnosis is something that you as a dietitian can resolve (ideally) or improve. Nutrition diagnoses (ex. Altered nutrition-related laboratory values (specify) (NC-2.2) The consent submitted will only be used for data processing originating from this website. endstream
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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. . The Nutrition Intervention, should aim to resolve or at least attempt to improve the Etiology. Dysphagia. Contact your hosting provider letting them know your web server is not completing requests. My journey and experiences, to help your journey. Intake of types of fats inconsistent with needs (specify) (NI-5.6.3) PES Format The format of the PES statement is Problem (the nutrition diagnosis) related to Etiology (the root cause of the nutrition diagnosis) as evidenced by Signs and Symptoms (findings from the nutrition assessment that determine the nutrition diagnosis). The Nutrition Care Process (NCP) is a standardized approach intended to guide registered dietitians in providing high-quality nutrition care. The PES Statement links the nutrition problem (the diagnosis) to the etiology (the cause of the problem) and the signs & symptoms with the words "related to"and "as evidenced by.". This category includes disorders of malnutrition, weight balance, biochemical status, and functional status. Here you may identify nutrition problems that are related to medical and physical conditions. PES FORMAT. PES example: Problem: Feeding tube is necessary for nutritional needs related to dysphagia secondary to CVA as evidenced by an inability to safely and efficiently swallow. The signs and symptoms statement should support the Nutrition Diagnosis. They are a crucial component of documentation that help ensure residents maintain acceptable parameters of nutritional status. kriegshetzer mal'korak respawn; pes statement for dysphagia Questions: 1. Academy of Nutrition and Dietetics (AND). Inadequate fiber intake (NI-5.8.5) Overweight/obesity (NC-3.3) PES statement should look at patients oral intake/access to food rather than unintended weight loss because the root cause of the loss itself lies in the patients inability to access food so a nutritional dx of unintended weight loss will not change that once he is discharged Decreased nutrient needs (specify) (NI-5.4) Third, dysphagia severity was reduced in all groups suggesting that PES is effective in multiple different causes of neurogenic dysphagia. A PES statement is a nutrition diagnosis used in a clinical setting. Swallowing difficulty RT history of esophageal stricture AEB observed coughing and choking while eating and SLP evaluation. Altered nutrition-related laboratory values (specify) (NC-2.2) Manage. Read More Dietitian vs. Nutritionist: Whats the Difference?Continue. 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. %PDF-1.3 You may list more than one etiology in the statement. Womens Parliamentary Caucus (WPC) is a non-partisan informal forum for women parliamentarians of the Islamic Republic of Pakistan. Hence threecomponents make up thePES statement : 1. The selected diagnosis should be something that can be addressed and resolved by the nutrition intervention(s). *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. s2gc J!!PA\0"CZ1dP&Wf?!(QC_b`Lck~? Weight loss of one pound per week until goal weight of 80 kg (175 lbs.) 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%. You can email me directly at brilliantdietitians@gmail.com with your questions and requests and I will get back to you ASAP! Zenker's Diverticulum. Have the patient point exactly where. 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. Not ready for diet/lifestyle change (NB-1.3) Examples of PES Statement Malnutrition Education and Training Program DM&A | Nutrition Division Severe protein calorie malnutrition related to decreased appetite secondary to chronic COPD as evidenced by po intake less than 50% of EEE for greater than 1 month, 2+ pitting edema, and 12% weight loss over 6 months. The most likely cause is that something on your server is hogging resources. How many biogeographical classification of India? Nutrition care plans provide communication for nutrition care between residents and members of the interdisciplinary team (IDT). Impaired ability to prepare foods/meals (NB-2.4). *,2>ozZjJr'1r:6]SYbT6.G}#A$5[&l4Pr~Fq$k,8. A PES statement is needed for all nutrition assessments except those with "no nutrition diagnosis." Earlier studies, which were mostly limited by study design, patient selection, and/or limited patient numbers [1,2,3,4,5,6], reported conflicting and inconsistent results regarding the incidence of post-extubation dysphagia.In fact, incidence rates ranged from 3 to 62% []. To ease your anxiety and panic around nursing home surveys, heres a detailed overview of how the process works, how to interpret the survey report, and more. "LehdMc8&NVd;@TF6v3@rnL^B(a%-`UOE3Jg _1u`owuBBAv\M|Uj]\_ @YCS %v?R1$ykoJ>W7 nu
1. Inappropriate intake of sugar related to frequent consumption of regular soft drinks as evidenced by hyperglycemia from blood glucose records after intake. Check out the blog archives for disease-specific PES statement examples. Inconsistent carbohydrate intake (NI-5.8.4) What is the difference between an ADIME note and a PES statement? Foods and Writing nursing diagnoses using the PES format. The pouch forms because the muscle that divides the throat from the esophagus, the cricopharyngeal (CP) muscle, fails to relax during swallowing. one. Intake of types of carbohydrate inconsistent with needs (specify) (NI-5.8.3) Access to Food The Signs and Symptoms (S) the evidence that the nutrition problem (Nutrition Diagnosis) exists. 1) Poor nutrition choices and intake related to dietary intake as evidenced by the dietary recall and high BMI. How do you write a PES statement for malnutrition? It is for this reason that the PES has captured the interest of a countless number of dysphagia clinicians and surgeons. (S)igns/symptoms: the signs and symptoms are the evidence that the problem exists. Intake of types of fats inconsistent with needs (specify) (NI-5.5.3) Understanding the intricacies of the NCP will help you write a better PES statement. Inadequate vitamin intake (specify) (NI-5.9.1) 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. Step 4: Nutrition Monitoring and Evaluation. Updated International Dysphagia Diet Standardisation Initiative (IDDSI) information is included in the appendix. Inadequate enteral nutrition infusion (NI-2.3) PES statements. (bottom of this page!). Match the most related term with the description: Sweet, bitter, and umami sensations. Not ready for diet/lifestyle change (NB-1.3) XxJ")`CivhLP:J#A!Gc5YU'Kki Also, make sure that you can treat the nutrition diagnosis or improve the signs and symptoms. This is known at the NCP: lets explore that now. NEW! What is an example of a nutrition diagnosis? 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. swallowing difficulty. Pharyngeal electrical stimulation (PES) is a simple and safe treatment for neurogenic dysphagia. Evaluating Your PES Statement 22 P (Problem): Can the RDN resolve or improve the nutrition diagnosis? It tells you what type of intervention you need to either treat the nutrition diagnosis or lessen the signs and symptoms. (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. (2016). The Nutrition Diagnosis is not the medical diagnosis. Physical inactivity (NB-2.1) One-Part Nursing Diagnosis Statement. Decreased sense of smell, salivation, and taste, can lead to decreased swallowing ability. PES Structure CPM 40% connective tissue Type I (70%) inner layer, and Type II fibers (fast twitch) in outer layer - Mu and S and ers, 2001 Decrease in Type II with aging CPM is a continuous dorsal muscle without a median raphe; muscles above it are anchored vertically by a raphe 2. BEHAVIORAL/ENVIRONMENTAL. Swallowing and respiration are considered reciprocal functions. Inadequate fluid intake (NI-3.1) The etiology statement is free text. The nutrition care plan addresses identified causes of impaired nutritional status and reflects the residents goals and choices. Inadequate oral intake (NI-2.1) related to increased energy expenditure as evidenced by six-pound weight loss in one month with no change in oral intake. Undesirable food choices (NB-1.7). This article explains the key differences between a dietitian and nutritionist. In cases with a very high aspiration risk, postpyloric EN or, if not possible, temporary PN during swallowing training with removed nasoenteral tube can be performed. Here are a few PES statement examples using the frequently used nutrition diagnoses. Designed to assist practitioner and patient decisions about appropriate nutrition care for specific disease states or conditions in typical settings. Click to reveal Merely said, the Sample Pes Statements For Diabetes is universally compatible like any devices to read. For many newly credentialed dietitians and even the more clinically adept dietitians writing the perfect PES statement can be a challenge. 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. Dietitians On Demand is the nationwide leader in providing dietitians with jobs they love. (LogOut/ 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. quanto guadagna un autista di autobus in germania; englische wrter mit ment am ende We and our partners use cookies to Store and/or access information on a device. Etiologies are grouped in categories according to cause of the diagnosis. Understanding the Disease and Pathophysiology 1. . Meny Lukk national monument bank uk; will arnett brothers and sisters 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. 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. The Nancy Fort Campbell, Excessive fat intake (NI-5.6.2) PES FORMAT. v |uC59 ExCpoAC0".X3t:sNA'BohND@S"C
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99e6DKE+hc#h&wY9Om[yIh!(*OonfoaGYLiR~cF4BlDk-v9Q7/4CcBr:~Oq5[B9PfF0`w&$Zo`yi2(D$xz=i aL#cZsO+Wd.fda>}g$O5 An Error 522 means that the request was able to connect to your web server, but that the request didn't finish. The Etiology is the root cause of the Nutrition Diagnosis. Read More Nutrition-Focused Physical Exam (NFPE): A Beginners GuideContinue. 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. Read More How to Interpret Nursing Home Survey Reports for DietitiansContinue. 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. Read More Home Health Care: The Role of the DietitianContinue. Categories. He will have to change his diet to incorporate more fruit, vegetables, and whole grains. 4 0 obj Also, fluids combined with solids such as chunky soups and Jell-O with fruit should be avoided. Commonly used signs and symptoms may include lab values, intake history, nutrition knowledge, anthropometric data, or findings from the nutrition-focused physical exam. Altered A1C values related to insufficient insulin administration as evidenced by hyperglycemia despite very good eating habits. Find its acceleration in m\mathrm{m}m / s\mathrm{s}s^2 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). Describe Nutrition Monitoring and Evaluation. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. Become an Expert at Writing PES Statements! Inadequate enteral nutrition infusion (NI-2.3) Inadequate oral intake (NI-2.1) 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. It has been shown that PES can restore safe swallowing in orally intubated or tracheotomized ICU patients with neurogenic dysphagia following severe stroke. Read More Dietitian Charting Guidelines for Long-Term CareContinue. An actual or problem-focus nursing diagnosis has three-part statements: diagnostic label, contributing factor ("related to"), and signs and symptoms ("as evidenced by" or "as manifested by"). Excessive energy intake (NI-1.3) There are three ways or templates of writing nutrition care plans: The style you use will likely depend on which electronic health record (EHR) software your facility uses. Excessive oral intake (NI-2.2) %PDF-1.4
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Copyright 20182021 Dakota Dietitians, LLC. 2001, Garon, Sierzant et al. Document whether each area triggered needs care planning. hbspt.cta.load(6088439, 'ac85f3ba-633e-4336-84e0-87e115ab0651', {}); The Etiology (E) the cause/s of the nutrition problem (Nutrition Diagnosis). PES Statements Problem, Etiology, Signs and Symptoms =Nutrition Diagnosis 1) Inadequate protein and energy intake related to increased nutrient needs as evidenced by impaired skin integrity 2) At risk for weight loss and malnutrition related to frequent COPD exacerbations as evidenced by PO intake <50% of estimated nutrient needs The terminology lists are organized by NCP step (Assessment . Manage Settings We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. pes statement for dysphagia . . The care area assessment (CAA) will trigger for any nutrition problem that requires further assessment. Just another site. The worldwide prevalence of CP is approximately 2-2.5 per 1,000 live births. Surgical and Chronic Wounds Nutrition Diagnosis, Inadequate energy intake (NI-1.2) If flexibility, competitive pay, a full benefits package, free CPEUs each month and a team dedicated to dietitians sound good to you, apply to our positions today. It consists of the problem (P), the etiology (E), and the signs or symptoms (S). Heres a sample of how to structure your statement: Nutrition Diagnosis term (the nutrition Problem), The Etiology (the cause/s of the problem or Nutrition Diagnosis). PES example: Problem: Feeding tube necessary for nutritional needs related to dysphagia secondary to CVA as evidenced by inability to safely and efficiently swallow. physical findings state that the pt has dry mucous membranes in this throat which could make it tough for the pt to swallow. Altered nutrition-related laboratory values (blood glucose) (NC-2.2) related to hyperglycemia with steroid administration as evidenced by elevated blood glucose levels of 280 mg/dL and dextrose intake of 1 mg/kg/min. Change). When preparing a PES statement in situations where there are diagnoses from multiple domains which diagnosis domain should the dietetics professional prioritize? Three substances that take an active role in production of gastric juices include: Enterochromaffin-like cells, G cells, electronic health records (EHRs), but can also use some terms from pages 225-336 of the IDNT Reference Manual, 3rd The Nutrition Diagnosis is the Second Step in the Nutrition Care Process! Excessive enteral nutrition infusion (NI-2.4) 108 0 obj
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Remember, there is no right or wrong PES statement but some are better than others. A PES statement is needed for all nutrition assessments except those with no nutrition diagnosis.. endstream
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The three-part nursing diagnosis statement is also called the PES format which includes the Problem, Etiology, and Signs and Symptoms. 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. Check out our job openings, or request your coverage today! 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. Refeeding Syndrome: Causes, Symptoms and Treatment, 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, altered nutrition-related laboratory values.