Peg Feed Chart: Fill & Download for Free

OK! Let me say this, it’s not even to catch mistakes. If I have 6 pts in my care. I have one aide to help. I’m a 3–11 RN. Now, 3 pts are bed rest, total care pts. 3 pts need feeding. I’m giving medicines. The aide has to feed three pts. The food will get cold. Family should be around for feeding. If the pt. needs help for sipping water or juices, etc, How many times will she feel thirsty? Can she use the call bell? We make rounds every 2 hours. Pts get turned every 2 hours. What if, in bed 3, we clean & turn a pt.,Give them something to drink. In 1 hour, they are incontinent of stool? They’ll be in a mess for 1 hour, till the next rounds. The RN is giving meds for 4 Pm. She’s making total rounds on all her pts. Then, 5Pm supper. Can she help feed before 6 PM meds,are due? All 6 pts get meds. Some pts take a long time to take meds. Meds have to be crushed sometimes & placed down NG or PEG TUBES. What if a tube gets clogged…. TIME. TIME compromised. 2 ppl calling for a bedpan, at the same time. Yes, there are other ppl on the floor w their 6 pts. If they are free, they would help.So, if your family member is able to walk to a bathroom & feed themselves, NO, you need not stay. If they are infirmed & handicapped, you may wish to stay. OR if you have money, order a private duty nurse. Sitters are cheaper than nurses aides. Sitters can help feed & give water. They don’t do poop. They can tell the nurse, that the pt was incontinent. We could get to clean her sooner, then. An aide can bathe, feed, turn & clean poop. An RN is assessing, giving meds, reading charts, calling doctors & maintaining IV fluids.Hope this helps

There’s little reason to pick the Tour de France if you want to inspect the absence of Indians in international professional cycling. It’s what goes on at a more fundamental level of international racing that counts whether you get there or not.A quick example to analyze the parity (or lack of) in Indian performance with respect to other competitors might help in order to understand why it’s challenging to move up :-At the 2017 Asian Road Racing Championships held in Bahrain, India did seem to have “decent” amount of pedal power in terms of two national time trial winners representing at the ITT and a total of six talented roadies at the TTT. Even though numbers weren’t on their side, certainly it was commendable that these six got an invitation to represent the country.However, it panned out that the Kazakhs, South Koreans and Japanese would go on to cream the competition. The best placed Indian at the ITT was a distant 5th place from last in a total field of 18.For a flat TT course, it is instructive to look at absolute power outputs as they tend to be an objective marker of sustainable intensity. The following power duration chart is from a Kazakh rider, who was among the winners of the men’s TTT that week.You can see that 30 min power is pushing 500W. I’ll leave digging up the Indian power duration chart as an exercise for you.These Indian pros could better describe the intensity of racing at this level to you. But personally, I see a gap of over 100 Watts for this duration between a Kazakh and an Indian, which is a little PACIFIC OCEAN to bridge in cycling parlance.Performance in any sport is multi-factorial. Sympathisers will tend to say that national poverty plays a big factor in setting back the sport. On the other hand, if national poverty were the only deciding factor, you shouldn’t even be seeing a war torn country like Iraq or even for that matter, Mongolia or Uzbekistan showing up to the races, let alone place well in contention for podium spot at these races.I’ll explore some other points that I think are important.Facts of Life :Physiological : As long as there is no raw talent, you will always be trying to fit a square peg in a round hole. At a fundamental level, performance in cycling is determined by a high VO2max and the maximum velocity and/or power output you can sustain AT steady state lactate level in your bloodstream. You take two cyclists - A and B. If B has a higher VO2 engine and can process work at a higher fraction of that for a longer period of time without fatigue, B is atleast on paper the faster cyclist at the end of the day. Unfortunately, sports science research and papers in Indian cycling are lacking in the public domain so we can’t make comparisons of national level Indian cyclists against similar international competitors. I do suspect there is an appreciable gap in prime physiological indicators that define success in cycling.Winning : One of ways to get into the TdF is through wild card teams. To be noticed for selection, you have to simply perform. You can have all the talent and train like a madman all year, but if you’re not winning and arguably by big margins, it’s going to be difficult. Essentially, the meat of a pro’s career is done and dusted by age 35 and the rest will be sobering to watch. It’s in the younger years that you can do some crazy things in life. For example, when ex US pro George Hincapie was still in his tender years, he was entering crits and lapping the entire field. Young Alberto Contador would show up at races with a heavy iron bike and still fry the field, the best Madrid had to offer (See writeup : About a Boy from Pinto). The infamous Lance Armstrong competed in traithlons as a teenager and gave older experienced competitors a serious run for their money. Answering when can you see an Indian at the Tour de France can borrow some lessons from how Africans entered the Tour de France in 2005, or for that matter, how Columbians entered the Tour de France in the 1980’s. Fundamentally, you need talent yes, but you need to win some BIG races on the cycling calender and you need the likes of Mr. Eddy Merckx and Mr. Bernard Hinault to notice you and bless your move forward. The Columbians had over 3 decades to mature as a cycling nation, today they have several top cyclists posted in the Tour de France.Cultural : Cycling is a relatively new professional sport in India. In western countries, cycling talent is identified at a tender age and nurtured through the teens. People give a damn about it, they appreciate it. In India, families like to see their girls and boys get a good job, marry before 30 and get settled in life. Loitering the streets on a bicycle comes with a stigma. Furthermore, the collective culture of bike racing, when compared to other national pasttimes such as cricket, is dismal. On this point alone, we can write a big essay. On the other hand, one can argue that India is talented in sports like cricket, badminton, hockey and wrestling. TV air time and press coverage going to something India is good at, cannot be really argued against. There can be some balance, however.Financial : There aren’t many bike races and professional development programs in the country. A few are springing up in parts of India, but nothing at the level to show normal average joe Indians that there is a professional future in cycling. If you can’t put food on the table and feed your family, I don’t care what it is - lorry driving, or gold merchandising, you won’t be doing it. In this respect, Indians are like any others from any other nation - they have their priorities.Environmental : What we describe as the ‘quality’ of cycling, whether recreational or sport, depends in large part on the quality of the surroundings. Prime among them : clean air and good, safe roads. I observe that several Indians in inner cities defy the odds to enjoy cycling during weekends. However, the amount of particulate pollution (PM10, PM2.5) in cities like Delhi and Bangalore are ridiculous and exercising in these conditions would arguably shorten life span. Those who ride motored 2 wheelers on these roads are found to wear face masks to block pollution. Cyclists, on the other hand, are completely exposed and elevated breathing rates mean a lot of crap is going in. Something of a sea shift needs to happen in the traffic and emissions scene in India to provide an environment conducive to performance. This is a long term change that I don’t see happening any time soon. Even legislating that drivers are not allowed to use certain roads at certain times of the day comes with massive uproar. Until these changes come about, cyclists have to ride long miles to get out into the country from places of inhabitation. (The nice thing about India is that it is a democracy and if you make enough noise, people responsible for change will listen….or something like that)Positive Signs of Change :The sport does seem to be exploding in India which is a positive sign. Bike shops and cycling themed cafes are springing up. Several cycling clubs attract people to buy bicycles and take up recreational riding and racing.Another positive sign is a strong Indian presence in the management circles of the Asian Cycling Federation since Mr. Onkar Singh took office as it’s Secretary General.A third is, as I mentioned, the growth of junior cycling development programs which is identifying talent and taking them abroad to countries like Belgium. One example is the Indian Pro Cycling Project.I believe Vaibhav Kumar has touched on much of the positive signs in his answer.One hopes these developments bring in :1) A fresh pool of genetically talented Indians into the sport, whether that is nationally or from overseas residing Indians.2) Support for Indian cycling at the international platform. Such is happening currently at Asian level as I already mentioned.3) Provides Indians an exposure to international racing and a glimpse of the true demands of a professional career.4) Encourages businesses to notice cycling and support talents with sponsorships.5) Encourages talented sports scientists to study indian cyclists and publish findings in international journals. What are the physiological gaps and what training methodologies can best bridge them?As a summation, I would argue that a whole new supply chain itself needs to pop up to support the upward movement of Indian cycling professionals. Good bicycle manufacturers, mechanics, scientists, coaches, sport directors, sport management consultants, aerodynamicists, nutritionists, business people, sponsorships and importantly, partnerships with international facilities and people. The list goes on and on. In a challenging sport like cycling, you really have to sit on the shoulders of giants.References :Asian Road Racing Championship 2017 Results Résultat de la course Championnants Continentaux AsiatiquesAlexey Lutsenko’s power output Утренний велозаезд - Alexey Lutsenko's 42.1 km bike rideIndian Pro Cycling Project : https://www.facebook.com/IndianProCyclingProject/Revisited : India’s Specialized Kynkyny Cycling Team https://cyclingiq.com/2015/06/17/revisited-indias-specialized-kynkyny-cycling-team/About a Boy From Pinto : A History of Alberto Contador About a Boy from PintoKings of the Mountains: How Colombia's Cycling Heroes Changed Their Nation's History Kings of the Mountains: How Colombia's Cycling Heroes Changed Their Nation's History: Matt Rendell: 9781854109118: Amazon.com: Books“MTN Qhubeka to become first African team in competition's history” http://bit.ly/1CfSFmC

Simple answer: Xerox Machine model.In aftermath of Mao’s death in 1976 Deng Xiaoping assumed the mantle of Chinese political leadership. He revolutionized and revamped the entire orientation of the Chinese economy. China had a GDP of 150 billion Dollars around that time (India’s GDP was around 100 Billion Dollars). Both the countries had humongous unskilled, uneducated and poverty stricken population to feed. It would have been unjust to expect cutting edge research and innovation coming up from these two countries. The only pragmatic solution to emerge out from this economic quagmire was run the economy like xerox shop.The xerox shop model works on very simple principle “Quantity over quality” (Being an engineer I have a very special place for Xerox shop in my life). The Chinese mastered the art of cheap imitation thereby employing its burgeoning population. Here are a few products that resulted out of this Chinese Xerox machine.Now setting up a Xerox shop for world was an ingenious idea as it solved many major problems in one single go which were as follows:Employing its population.Kickstarting its own economy.Boosting consumerism in rest of the world by providing cheap alternatives.To bolster this model China also pegged its currency to Dollar to ensure that it has an upper hand in trade competition globally (the peg was abandoned in 2005, Refer: A Trade War with China? ).In the process of maintaining this peg China accumulated a lot of Dollars in its treasury chest (As I am writing this answer, India Forex: 393 Billion Dollars, China Forex:3.054 Trillion Dollars, check it here India Foreign Exchange Reserves | 1998-2017 | Data | Chart | Calendar).If you are wondering what was India doing all this while then I am not going to entertain you by reciting the same old tragic if not grotesque story of failed socialism in India and how we were busy digging our own grave (Thanks to the Father Daughter duo). But I will definitely mention the real heros who corrected the course and brought India back on track.Mr. P V Narasimha Rao2. Dr.Manmohan SinghNow the most important part: Where are we headed now?The major driving force of Indian economy is the service sector(Almost 57%, Refer: http://statisticstimes.com/economy/sectorwise-gdp-contribution-of-india.php ). The major part of this sector is composed of IT industry. The IT industry is India is currently in state of metamorphosis(Read:Layoffs and shrinking job market: Is this the end of India’s engineering dream?). All of this is mainly due to recent advances in data science and machine learning.We are not even remotely prepared for adapting to the advent of this technologies.We are in the same slumbersome as we were in 1970’s.Where is China on this front?https://www.weforum.org/agenda/2016/11/china-is-now-the-world-leader-in-deep-learning-research-and-the-us-is-worried-about-it/Peace!