Generation Chart Instructions. 5 Generation Chart With Instructions: Fill & Download for Free

Since we are talking Pounds I am assuming we are in England. That’s convenient. Here are your step by step instructions:Buy £295 worth of silver and make sure each bit is as small as possible. A silver chain would work.Print out as much maps and sailing charts as you can carry. £5 will be enough to spend.Travel back to 1449 to any port city.With a small piece of silver hire some bodyguards.Set shop near the port, make contact with captains.Start selling charts very very discreetly.Posing as a different company invest your income on those ships you sold the maps to.Become very rich by 1450.

In addition to once having spent 114 days on hospitalized pregnancy bedrest, I have also helped various family members and friends when they were hospitalized.I should say, I received exceptional care during my own extended hospitalization. However, the circumstances were unusual. I was the only long-term obstetrics inpatient in a small, rural hospital. The specially negotiated fee for my care was a significant help in covering the fixed costs of the hospital’s OB unit. Also, at the time, I was an employee of that hospital, and I was able to work from my hospital bed.The comments below, which are negative in tone, are based on my experience helping ill family and friends. Note that these comments are specific to U.S. hospitals, and may not apply to hospitals in other countries.1) Generally speaking, you don’t want to be in a hospital unless you absolutely, positively need to be there. Patients in a hospital setting have little to no autonomy, suffer significant sleep disruption, and are exposed to a significant danger of hospital acquired (nosocomial) infections.2) Nurses and other staff members are typically being pulled in so many different directions that they are unable to provide an appropriate level of hands-on, timely patient care. In some hospital settings, the most highly trained floor nurses (typically, RNs) may not be providing any hands-on patient care at all, as they may need to devote their time to distributing medications that cannot be dispensed by a staff member with a lower level of certification.3) If you are very ill, you will fare best if a rotating cast of family and friends can be with you 24 hours per day. When you are ill, it’s hard to advocate for yourself. Here are some things that such people can do:a) If your hospital stay is planned, work with the admitting physician BEFORE you go into the hospital to ensure that your list of diagnoses, medications, allergies and drug contra-indications is current and accurate. The hospital staff will administer meds according to written orders. If a medication is not on the written list, you will not receive it unless and until you perform the labors of Hercules to get that list revised. For instance, a patient who is taking a medication for depression or anxiety will not receive that medication in a hospital setting unless the admitting physician has put it on the written orders. You may need to get the prescribing physician to connect with the admitting physician or hospitalist to add a missing med to the hospital orders. If you have known allergies or known adverse reactions to specific meds, confirm that these are all properly documented.b) Do not make the mistake of thinking that you can bring medicines from home or that you will be allowed to self-administer such meds in the hospital. They will be lost or confiscated. If possible, check to make sure that medication orders are being properly administered.c) TAKE NOTES. Physicians come when they come, and they come and go very quickly. A family member should take notes of anything a physician says and be prepared to share those notes with the patient (who may be groggy, or unconscious, or unable to absorb or remember what the physician says), as well as with other clinicians. Try to always be physically present during any shift change (usually, 7 a.m., 3 p.m. and 11 p.m.). If the departing and arriving nurse have a quick debrief at the patient bedside (unlikely, but it sometimes happens), keep your ears pricked to make sure key issues/changes are communicated.d) Be nice to each and every member of the hospital floor staff. They are overworked. Understand that any comfort request you make will typically take minutes or hours to be addressed. A family member who ingratiates himself or herself with the floor staff may be able to go and get you a warm blanket, or a ginger ale, or saltines. Learn the names and faces of the individuals who are assigned to you during any shift.e) A family member who is assertive can ask visiting physicians and nurses to wash their hands before examining you. There are still far too many hospital staff members who do not wash their hands between patients. This is a leading cause of nosocomial infections.f) There are nursing tasks that your family may be able to learn to do to help in your care. For instance, when a family member was hospitalized in the Intensive Care Unit, his wife learned to suction his upper airway. This allowed for a faster response when he indicated that he was in respiratory distress.g) If your family member/friend is in pain, be sure you understand the specifics of any pain med instructions. For instance, it may be that they will not receive pain meds unless or until they ask for them. If you know that, you can advocate for them.4) Even in the case of an emergency admission, there are a few things you can grab that will make your stay more comfortable. These include a charger or charging station, a phone or iPad with your favorite music and/or movies previously downloaded, earbuds, a notepad and a pen. For a planned stay, ask your physician if you can bring your own pyjamas (or at the least, PJ bottoms) and bathrobe.I could go on, but that’s a start . . . .1. Sleep Deprivation: Sleep Deprivation in Hospitals Is a Real Problem, Why won't hospitals let patients sleep?, Why Hospitals Should Let You Sleep2. Nosocomial Infections: Why Hospitals Should Let You Sleep, Hospital-Acquired Infection: Definition and Patient EducationP.S. Edits - with thanks to Vinod Pillai for the suggestion:5) Hospital architecture is confusing and this is detrimental to patient care, comfort and outcomes, as well as to staff happiness and efficiency. It’s my belief that there are special programs for hospital architects, wherein they learn to design structures that are confusing both externally and internally. The exception that proves the rule is the exterior signage for emergency rooms. It is almost always easy to find your way INTO an emergency room, though generally not so easy to find your way out. Also, children’s hospitals often attempt to compensate for poor design by using a lot of color coding on signs, floors and walls to help people find their way from any Point A to Point B.How the Architecture of Hospitals Affects Health OutcomesThe Impact of Facility Design on Patient SafetyWhy hospital architects need to talk to nursesAn Easier Hospital | Gensler Research Institute | Research & Insight | Gensler6) When you are discharged from the hospital, do the extra work to make sure that ALL of your treating physicians are given correct information on the medications that you were given during your hospital stay, so that you can ensure continuity of medication as appropriate. There are many pitfalls here. To name just one: If you were given opioid painkillers in the hospital, these will likely not be reflected in reports generated by regular pharmacies. In the current U.S. climate, this may mean that a pain specialist will be unwilling or unable to prescribe the same dosage of pain medication that you were given in the hospital (their prescribing patterns are monitored by computer, and jumping to a high pain prescription from nothing or a low prescription will result in their getting into trouble). If that should happen, you may begin your first days at home experiencing both extreme pain and narcotics withdrawal, with limited to no ability to address either problem.P.P.S. Edits7) If you would like the medical staff to be able to talk about you with anyone else, please be sure and fill out HIPAA paperwork naming those specific individuals in advance of your hospital stay. Give them copies of the paperwork so that they can show it to staff, because it may very well not make it into the system.8) The hospital will very likely encourage you to fill out living will type paperwork. While you’re contemplating death anyway, consider the consequences if you die and no one knows any of your user names and passwords. Take appropriate action to protect your loved ones from that headache. If you don’t, the consequences will include Facebook reminding all your FB friends about your birthday for years to come, while LinkedIn will celebrate your job anniversaries in perpetuity. Not to mention the impossibility of accessing the photos you may have stored on iCloud and the more solvable but nevertheless difficult issue of regaining access to your financial accounts.9) On a more cheerful note, if you’re able to enjoy good food, don’t subject yourself to the banality of one size suits all hospital food. Order pizza to be delivered. Or have your friends and family bring good food to you.10) If you want visitors, give your friends and family suggestions that will make it easier and more comfortable to visit you. Put on a cheerful face. Send them an advance note prohibiting them from buying you anything at the hospital gift shop. Ask them to bring specific things that you would enjoy or appreciate. Include in your list thoughtfully chosen gifts for physicians, nurses and other staff. Don’t don’t forget the people who clean your room, bring your food, and may be able to get you such coveted goodies as warm blankets and cold ginger ale with saltines, and to get them more quickly than the overworked nursing staff. Cards that show some thought . . . show some thought. Nurses vary in whether they want or don’t want food gifts, as well as in whether they are allowed to accept them.P.P.P.S.11) I have recently learned that it is still possible (if you have enough money) to hire a private duty nurse to care for you - and only for you - during a hospital stay. Here is a link to a New York Times story about this phenomenonNurse Deficit? Affluent Patients Hire Their Ownand to a NYC agency that provides private duty nurses:Private Duty Nursing | Access Nursing ServicesI do not know whether all hospitals are open to such arrangements, how responsibilities are shared with hospital staff, or indeed anything more than what I just said.12) The website just referenced provides a useful list of Safety Tips for Transitioning from Hospital to Home, including the importance of knowing the possible bad side effects of any new medications or therapies, having a plan to get home safely and to live at home safely (think fall prevention), as well as making arrangements to come home to a nicely stocked refrigerator.13) If you are stable, ask your medical team if you may be allowed to sleep through any otherwise scheduled vitals checks. If the answer is yes, ask a physician to put written orders in your chart instructing the nursing staff not to take your vitals when you are asleep unless there is some specific clinical reason to do so.14) Ask to have your discharge instructions as early as possible, For instance, if you are being admitted to the hospital for a scheduled procedure, ask to have the standard discharge instructions before you schedule the procedure. This will allow you to know and plan for any requirements/recommendations that you might not otherwise anticipate. You don’t want to learn for the first time upon discharge that there is a six week anticipated recovery period during which you are not supposed to life anything heavier than 10 pounds . . . and etc.

A strong case can be made that the Millennial Generation has it worse than any previous generation since the Greatest Generation. Because of the paradigm-changing nature of the industrial revolution, I don’t see how one can make any meaningful comparisons of generations that existed before the dawn of the computer age. Such comparisons would invariably be difficult to quantify.In the 20th century, I would make the claim that only the Greatest Generation had it worse. Certainly, Millennials have had more societal adversity and disruption than Baby Boomers or Generation X that inherited and enjoyed (maybe even squandered) all that the Greatest Generation left behind during the golden years after the war from 1945–1960 . That was a time when the Boomers were born and when half a high-school degree would lead to life-long pensions, a home and security in return for you efforts. The last 2 generations proved poor stewards indeed and the case against the 20th century and all who participated in making it so is damning. When I look at our Boomer leadership, I cringe. Wisdom and age are correlated but one doesn’t automatically lead to the other.Millennials lived through the following events that have fostered the profound sense of betrayal that is now playing out in our society as the status quo gets challenged .The deadliest military attack on US soil and civilians in history. September 11th. I remember where I was. It was a Kennedy moment for my generation.Great Recession - the 2nd biggest economic collapse in American history. It profoundly shaped how I see the world and how I feel about central banking.Iraq and Afghanistan Wars. Afghanistan being the longest war in American history.Drug Addiction - overdose deaths are now the biggest killer of people under 50, killing more people than gun violence and car collisions combined! Overdoses now leading cause of death of Americans under 501 in 3 children grow up without a father. The impact on a child’s development can hardly be overstated. In two words, not having masculine energy in your life is profoundly detrimental to you and by extension to society which is comprised of many “yous” http://fathers.com/wp39/wp-content/uploads/2015/07/fatherlessInfographic.pdfWages have hardly moved in 30 years. Middle wages up 6% since 1979. Low-wages down 5%, while high wages saw 41% increase. When it comes to the pace of annual pay increase, the top 1% wage grew 138% since 1979, while wages for the bottom 90% grew 15%. Wage Stagnation in Nine ChartsTuition increased at least 234%— when the inflation rate was just 63%. According to data from the Bureau of Labor Statistics, 46% of grads left college with debt in 1995, compared with 71% in 2015. It is now the 2nd leading debt in this country. The first is mortgages for families. The 2nd is young people just starting out in life. Both sign up for a lifetime of paying back debt. One may make more sense than the other though. Student debt over a trillion dollars makes it hard for millennials to hit traditional “adult” milestones.There are a slew of less-quantifiable developments like the disruptions of online dating and the effects that is having on dating in the modern world, the insidious toxic aspects of post-feminist modern society that conspire to quash free-speech and diversity of thought, the profit above people philosophy of modern capitalism, toxic corporate cultures that feed it, me-centered, always-on technology that feeds narcissism and alienation, and a growing isolation because of it all help stoke people’s anxieties, short-circuiting empathic and compassionate reactions, ultimately socially disconnecting individuals as society grows more and more infirm (more and more disjointed and unintegrated) in the wake of receding trust. This to me is an even more tragic development in our world. Humanity is great when the society that person finds himself in is great. When our sense of shared purpose is there. When trust in our leaders is there. A great human born in a broken society will rarely get very far.The Greatest Generation’s story began in 1910. 1929 ushered in the Great Depression. The oldest among them were just 19 and just entering the workforce. 25% of Americans were unemployed at the lowest point in 1933. They had to endure 10 years of crippling joblessness and hard times. And then came the War to end all wars. World War 2. The oldest among them were just 29. The youngest were barely turning 18 when they went off to fight. This is why they are remembered as the Greatest Generation. They showed up, stepped up, and saw us through the darkest times humanity has ever had to weather. 70–85 million people died. Those that made it home after the war picked up the pieces and started rebuilding. They weren’t finished quite yet. On the heels of a robust post-WW2 economic recovery, the Greatest Generation helped fuel an economic boom back home that counted as some of America’s most prosperous, between 1945–1960 (the Baby Boomers were born during this time). We inherited the world their sacrifices made possible. As a generation, they went beyond the call of duty.There are some interesting paralles when we turn to look at the coming of age of the Millennial generation. Full disclosure, I am a Millennial (and proud of it, some of it). I am the son of a Gen Xer, who was herself a daughter of a Baby Boomer. Exact dates vary by a few years, but generally speaking, Millennials were born between 1981–1996.I was 15 when September 11th happened (I remember exactly where I was). The deadliest foreign attack on American soil. There are in all likelihood now 18 year olds (Gen Zers or Post-Millennials) fighting in Afghanistan somewhere for whom 9/11 was an abstract historical event but the Afghanistan War, well that’s an all too concrete reality. I was 22 when the economy collapsed for the second time under the weight of the Great Recession (a decade later, the economy has yet to fully recover from it), and 31 when “American Nazi” became a mainstream topic of conversation . I sometimes wonder how the Greatest Generation would have responded to this development of home-grown fascism. I’ve watched addiction rip apart people and families becoming the leading cause of death for people under 50. Killing more people than gun violence and car deaths combined. I watch as our planet continues to stagger under humanity’s apathetic watch, as habitat destruction, overpopulation, global warming, and the 6th mass extinction destroy our planet (this is the first mass extinction of life on earth that is caused by humanity). If we do this to our world, then of course we would do this to ourselves. And so I watch the drug epidemic grow in severity year over year, I see the drug war continue unabated against its own citizens, not to mention all the real wars that are currently raging against others too (at war with ourselves, with each other, and with the world). I can relate personal stories about the collapse of nuclear families (not just about fathers walking out, but worse, about fathers never appearing to begin with).Even worse, complex systems exhibit complex, non-linear behaviors. All of these trends have conspired to erode the very social fabric of society — that social contract of reciprocity, protection and shared purpose on which society depends. Is it any wonder then why this year saw the worst spate of mass-killings in history (and last year was a record holder too, as was the year before that)? A sense of shared purpose is all but gone. Compassion and empathy have seen better days too. Civil public discourse, don’t get me started.Rationality is under attack. There’s just no other way of coloring it. Maybe not consciously, but things fall apart of their own accord. The center is clearly not holding and hasn’t been for decades. What worked yesterday may not tomorrow, and it seems doubtful that our collective negligence and mismanagement is making things any better today. Science is under attack too. That’s not good. Things are certainly not looking good. But at 32, in the era of Trump (whatever that means), I finally find myself with a voice and thanks to the asymmetrical power of technology, with a platform (or more accurately, platforms).Part of my personal mission is to lend my energy to slowing what I see as the collective regression of our world, lest I be accused of misanthropic tendencies. Nay, I am a Millennial! We have reasons to be angry after all. Even indignant on some level. We were collectively betrayed depending on whom you ask and have more reason than did the Hippies to say f*ck it all and run off to some commune. From an education system that didn’t prepare us, to what amounts to an utter collapse in mentors, guides, and role models, we were misled across every meaningful domain (broadly speaking). The situation is even worse for boys in a post-feminist world…So we now live in a post-Trump/Kardashian world and people wonder why. Well technically speaking, many millennials still live at home (in no small part due to 20+ years of stagnating wages, dismal job prospects, and a rapidly changing world). But to wonder how we got here is just plain naive. On almost every measurable metric that I’ve come across we are regressing. But greed, desire and ego are powerful enemies and fighting people in the grips of these can be a full-time job. It is rational to question how much longer this can continue in the face of mounting evidence that it can’t.Millennials have to contend with 2 generations that have led to the world we have today. They are still very much entrenched interests fighting millennials tooth and nail to keep it that way (mainly fighting to keep their Boomer fiefdoms safe at the expense of the rest of us who have to fund it while having nothing leftover).I do not see which generation except the Greatest could lay claim to a more traumatic coming of age, or a more challenging entry into adulthood. The times made men out of them. We need real men now, more than ever. On every measurable metric, economic and otherwise, the Millennials are facing problems of existential magnitude (our Planet’s slow death at our hands being the most threatening). The Boomers didn’t have any of this to deal with. They had their 1960s flirt with idealism but swapped out the Bongos for suits to go work under Reagan. It was the Millennials that legitimized gay marriage, elected a black president, # blacklivesmatter, # metoo, pushed electric cars into the mainstream, and that is only the beginning of the reconstruction. All these things could have come earlier but the previous two generations were too busy elevating decadence to a holy pursuit.It is evident to me that Millennials represent a significant parting with the past. Einstein said we cannot solve problems on the same level of thinking that created them. The profound betrayal Millennials feel from society, from teachers, from the drug war, from Boomer/Gen X parents, from father figures, from the economy, basically from society is fueling many of the changes we are observing. In a word, a generation was misled, miseducated, and underprepared precisely at the dawn of what is being called the 2nd machine age. At a transformative time in human history, the last generation did nothing to prepare the future. In fact we still aren’t. We are looking to steal and mortgage the future, so we can prop up and subsidize the present as well as the aging past (that has quite a comfortable fiefdom for themselves at all of our expenses).We have created a modern world I truly disparage. Modernity (as understood by naive rationalists) has bred frailty and fragility and reduced the grandeur of life to something sterile and devoid of spirit. People are now so fragile, psychologies so fragile, our systems so fragile. And phony too. When did things become so plastic and hollow? And modernity has done something similar to people, which has changed society (for the worse if you ask me), and now it’s moved on to our planet at large. And its bred sickness too, a deep soul sickness that I observe in my society. People are unhappy . The mass-shootings, the drug-epidemics, the debt-fueled consumption habits, the lack of authentic, ethical leadership, the staggering obesity rates, all of it indicators to me of a serious societal imbalance. Nature abhors imbalance and we can either gradually and methodically harmonize our systems, or nature will do it for us. Most likely she will do it in a more abrupt and aggressive fashion, and we can’t claim we didn’t have fair warning. Pain is the most persuasive teacher but it can only be instructive if the student is willing to learn.I reflect on the lessons of my childhood, and see how misguided some of them really were. I was taught never to talk to strangers online or get into their cars. I do this almost daily through Uber and Lyft. It shows the power of innovation to render the “lessons” of the past obsolete. An even more counter-productive lesson was drilled into my head repeatedly throughout the years, to never discuss topics that are uncomfortable or difficult to talk about. That rules out quite a lot. Pretty much anything that needs to be talked about will be difficult or uncomfortable to us. This is a particularly insidious lesson that has resulted in a generation (generations really) in full denial of uncomfortable truths, a society that elevates comfort-seeking to an almost religious pursuit (leaving coddled man babies and woman babies in its wake and generations too fragilized and scared to act boldly). The psychological concept of learned helplessness is apropos here. We inhabit a society that collectively appears to me, to be in full flight from reality. We all inhabit the same world, but we do not all live in the same reality. Seeing clearly is a skill. This rift in “reality” poses an existential threat to America’s Republic and its ability to self-govern.The Greatest Generation was shaped by the times and then later came to define them. They offer us a case-study in grace under pressure. I can only hope my generation has the spine to meet calamity with grace in equal measure. If society is a restaurant, Millennials didn’t like what’s on the menu. So the smarter ones took matters into their own hands and rewrote it. Others went even further, starting restaurants in the process too.The difficulties visited upon my generation pale in comparison to those the Greatest Generation had to confront. Maybe that’s because history does not always repeat itself as much as it rhymes. We’d hear the patterns more often if only we cared to listen. History instructs too, if only we paid attention. The globalized, digital world is a brave new world of disruptions and changes. It is harder and faster and more competitive than anything we’ve ever seen and will demand new types of people to emerge. But I look at our Boomer leadership and just cringe…