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Health
7 Top States For Registered Nurses Salary
Get The Facts

1. California
Median RN Salary: $100,460

Median Hourly: $48.30

Number of RNs in California: 274,650

Nursing Jobs: View 2,484 of the best paying nursing job opportunities in California now.


2. Hawaii
Median RN Salary: $91,020

Median Hourly: $43.76

Number of RNs in Hawaii: 11,300



3. Oregon
Median RN Salary: $88,010

Median Hourly: $42.32

Number of RNs in Oregon: 35,220

Nursing Jobs: Advance your career in Oregon. See 357 open nursing positions now.



4. Alaska
Median RN Salary: $85,300

Median Hourly: $40.01

Number of RNs in Alaska: 5,570

Nursing Jobs: Advance your career in Alaska. See 215 open nursing positions now.

5. Massachusetts
Median RN Salary: $84,410

Median Hourly: $40.58

Number of RNs in Massachusetts: 20,250

Nursing Jobs: Massachusetts needs nurses like you. Apply now to 779 open nursing jobs.



6. Nevada
Median RN Salary: $83,940

Median Hourly: $40.36

Number of RNs in Nevada: 20,250

Nursing Jobs: There are 179 open nursing jobs in Nevada. Apply now.



7. New York
Median RN Salary: $80,380

Median Hourly: $38.65

Number of RNs in New York: 180,730

Nursing Jobs: View 650 of the best paying nursing job opportunities in New York now.




Nurse Practitioner
Becoming Integral in US Health Care

Nurse Practitioners are APRNs who have additional responsibilities for administering patient care than RNs. NPs can prescribe medication, examine patients, diagnose illnesses, and provide treatment, much like physicians do. In fact, nurse practitioners have what’s referred to as “full practice authority” in 20 states, meaning that they do not have to work under the supervision of a doctor. In the remaining states, however, while NPs still have more authority than RNs, they must have a medical doctor sign on certain patient care decisions.

Nevertheless, nurse practitioners are increasingly becoming integral to medical teams as more and more hospitals and healthcare facilities are utilizing their expertise. Their experience as working nurses gives them a unique approach to patient care, while their advanced studies qualify them to take on additional duties that are usually left to physicians. In fact, as reported by the Kaiser Family Foundation (KFF), it’s estimated that NPs can provide 80-90 percent of the care that primary care physicians offer.

Nursing is a fairly stable industry already, but becoming an NP can give you even more job security. KFF reports that the need for primary care is expected to rise over the next five years because of the aging population and other factors, and NPs are poised to meet this increasing demand, especially in underserved areas. Without nurse practitioners, there could end up being a shortage of highly skilled medical professionals since there simply won’t be enough doctors to go around.

In fact, during the decade of 2014-2024, the BLS projects that nurse practitioner jobs will increase by 35 percent, which is much faster than most occupations. On top of that excellent job forecast, NPs also out-earn RNs by over $30,000 (median salary for registered nurses was $66,640 in May 2014, says the BLS). And, compared to an LPN’s annual wages of $42,490, becoming an NP will more than double your earnings.

What’s more is that even after you become an NP, additional specializations can drive salary up higher still, and invite even more career opportunities.


10 Top trends in Senior Living Facility Designs
By Bradford Perkins, FAIA, MRAIC, AICP

10 top design trends in senior living facilities




The Point Center for Arts and Education is a 20,000-sf senior activity center at the C.C. Young continuing care retirement community, in Dallas. Its library, classrooms, computer lab, fitness center, performing arts center, and art studios serve both residents and the surrounding community.
The surge of silent generation retirees and the impending burst of baby boomers marching toward retirement age are creating a burgeoning market for senior living. What is less widely appreciated is how much creativity is being applied to addressing this critically important part of the b

1. Optimizing resident privacy and dignity
2. Creating homelike settings
3. Introducing hospitality design concepts
4. Expanding individual choice
5. Using technology to enhance senior living
6. Filling in the continuum
7. Taking the 'R' out of CCRC
8. Expanding urban options
9. Seeking more sustainable environments
10. Capitalizing on globalization


uilt environment. All the old design models are being challenged, serious environmental design research is being done, and a wide range of new models is being planned and built based on this research.

Following are 10 design trends that I believe have the most interesting implications for senior living facilities.
1. Optimizing resident privacy and dignity
The largest, and most disliked, of the available senior living options is the nursing home. Almost all of the existing stock of about 1.9 million beds in skilled-nursing centers, long-term care facilities, and nursing homes was built in accordance with the concept (enforced by state codes) that these were low-tech hospitals. The typical semi-private room with one bed by the window, one by the bathroom, and a curtain in between to separate the two occupants probably is only minimally larger than the code minimum for two inmates in a maximum security prison.

Other activities of daily living also strip privacy and dignity. Bathing, for example, often takes place in a gang shower or tub room down the hall from the residents' rooms. As for disabilities access, many of the bathrooms are too small for wheelchairs.

Nonprofit and for-profit sponsors of senior living are responding to these ignominious conditions with new, less institutional facilities where residents have their own rooms, usually with a three-fixture bath—sink, toilet, and shower. (Tubs are out—most of the elderly frail can't use them and they take up too much room—except in specialized tub rooms or in cases where spa-like facilities are feasible.)

If this sounds expensive, I would agree, but only to a certain extent. I think back to the first all-private home we did some 25 years ago, for the Montefiore Home in Beachwood, Ohio. Most of their reimbursement was coming from Medicaid, but the chairman felt strongly, even back then, that nobody wanted a semiprivate room anymore. Once they went to single occupancy, the other nearby homes also had to convert their rooms to private.



A private room at Copper Ridge, Sykesville, Md. The facility provides a continuum of care specifically for persons with Alzheimer’s disease, with 60 assisted living units, a 66-bed comprehensive care skilled nursing facility, a 25-person adult daycare center, and an assessment clinic run by Johns Hopkins University. The project received an AIA.AAHSA Design for Aging Citation.
In terms of affordability, the nonprofits are leading the way, through creative project management, especially the faith-based organizations—the Jewish Homes for the Aged, Episcopal Ministries on Aging, Presbyterian Association on Aging, Catholic Charities, etc. They know that the next generation of long-term care residents will not accept a semiprivate.

The high-quality operators in the for-profit sector are increasingly dependent on the high end of the market. To attract private-pay residents, they have to offer all private rooms. In my opinion, however, the for-profits have been under a lot of pressure and are not where the innovation is taking place.

They could take a lesson from a project we're doing in New Rochelle, N.Y., for a nonprofit with very little money. The facility is pretty spartan, but they put the premium on client privacy, and they'll add the amenity touches later if funds become available.
2. Creating homelike settings
A related trend has been the movement toward smaller, more homelike, environments. The Green House movement, which started about five years ago in Tupelo, Miss., is perhaps the most widely publicized form of such environments. Such “small house” senior living revolves around the concept that elderly people don't want to be in an institution; they want a much more houselike setting. Here, skilled nursing care takes place in facilities that are essentially big houses of 8-10 bedrooms with common living rooms and dining rooms, staffed by 24-hour caregivers.

The reality is that when you get into the urban situation, the economies of scale to pay for a rehabilitation staff, or professional dietary staff, or really skilled nursing require that you have facilities with 400-600 beds. But the same idea of homelike settings can be applied by breaking down traditional huge nursing-home complexes into small neighborhoods and houselike settings.
3. Introducing hospitality design concepts
For reasons of market acceptance and operational feasibility, many providers of senior living and their design teams are incorporating hospitality design concepts into their facilities, not only in the interior design but also in the planning and programming.

As I have noted, there has been huge movement to make these facilities look less institutional, although there may be limits to what can be a




The pool at Kendal on Hudson overlooking the river and palisades in Sleepy Hollow, N.Y. The continuing care community, founded on Quaker ideals of inclusion and respect for older persons, offers 222 independent-living apartments, 24 enriched housing residences, and 42 skilled nursing units
accomplished to make these settings seem truly residential when you have several hundred frail people living there.

At the other end of the spectrum, however, retirement communities and higher-end facilities are taking note of the design sensibility of hotel chains and applying their concepts to long-term care, assisted care, and continuing care.

Some of these innovations are fairly simple to implement and rely on the use of conventional products—for example, shifting from vinyl composition tile to carpet, or from painted gypsum board to wall coverings. Others are more substantial: additional dining options, separating “back of house” operations from residential areas, and concierge-like services.

Then there are many new products that have been developed to meet more stringent healthcare codes or owner/designer specifications, but which are much more attractive than yesterday's offerings.

These include wall coverings that meet infection control requirements, and solution-dyed carpets with moisture backings that can be cleaned with industrial-strength cleaners. There's new furniture that's been designed specifically with the frail elderly in mind—as basic as removable seat cushions for cleaning, arms on the chair to assist lifting, all these little details. So much of senior living is about detail: what the clients can see, what they can do, even when they're very frail.

And in extreme cases, such as the eight projects we have done in Japan for the senior living operator Half Century More, the amenities and finishes, not to mention the dining facilities, are such that your first impression is that you've walked into a five-star hotel.



The arts activity space at Fairhaven Retirement Community, Sykesville, Md., which also features crafts, ceramics, a photography studio, a woodshop, exercise room, and computer center. A 99-bed healthcare center was converted into 33 assisted living units and 66 nursing care beds—all private rooms.PHOTO: © BRYSON LEIDICH PHOTOGRAPHY

4. Expanding individual choice
All three of the above trends, as well as others, are about the market's desire for choice. The individuals considering retirement options for themselves or a family member have not been satisfied with the limited options of the past and are demanding new choices. This can be seen in new ownership options—“condo for life,” a wide variety of entry-fee options, rentals, time shares, etc.—all catering to niche markets and offering alternative delivery options for skilled care, richer programs, and other benefits.
5. Using technology to enhance senior living
Technology is finally beginning to have a significant impact on seniors' choices. There are wireless pendants that activate a phone in case a client falls; health-monitoring devices that can be applied to a parent's unit, as a motion-detector; devices that monitor vital signs, or even manage

A photovoltaic array at Felician Sisters Convent, Coraopolis, Pa. The Franciscan nuns converted their 70-year-old provincial house into 10 household clusters of individual rooms with private baths. The renovation earned LEED-NC Gold certification. PHOTO: © ALEXANDER DENMARSH
medications. There's a growing array of technologies that are making it possible for people to live longer, in less restrictive facilities. Given the growth in the senior market, it is likely to expect technology to have an accelerating impact in the field.
6. Filling in the continuum
Twenty years ago most sponsors of senior living facilities had only one or two options to offer—a nursing home or traditional old-age home for the frail elderly—and many of the new sponsors came in with facilities that addressed only one part of the need. Now they are faced with the problem that, as their residents get older and frailer, sponsors do not want to discharge people who need more care than they normally provide, in part to keep their facilities full.

Thus, a growing part of the market wants to choose an option that gives them security for the remainder of their lives—long-term care (i.e., 24-hour nursing homes), assisted living for the frail who do not need 24-hour care, independent living (“senior housing” for those who are ambulatory), and continuing care retirement communities, or CCRCs, which offer all three options.

Nursing home operators are adding housing and other options, while assisted-living operators are moving into full-scale retirement communities. This move to offer a fuller array of options is producing some of the most interesting projects.
7. Taking the 'R' out of CCRC
As noted above, “CCRC” stands for “continuing care retirement community.” In today's climate, many seniors looking at their options do not see moving into a senior living facility as a decision to drop out of life. Instead, they want to continue their lives and interests long after age 75.

One of the more progressive manifestations of this change in attitude is the development of senior living facilities built either directly in association with universities or near academic campuses.

For example, Kendal at Oberlin, a continuing care community serving seniors “in the Quaker tradition,” is a short van ride from the Oberlin College campus in Ohio. More than a third of its residents are retired Oberlin faculty, alumni, or staff. Similar Quaker tradition centers have been established by Kendal Corporation at Cornell University, Ithaca, N.Y.; Dartmouth College, Hanover, N.H.; and Denison University, Granville, Ohio. The Kendal at Lexington, Va., offers a two-fer: it is near the Virginia Military Institute and Washington and Lee University. And Kendal's two facilities in western Massachusetts are within a 10-mile radius of five colleges and universities.

8-10 in next edition.
Contact cs@TTimesworld.com



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Do You Have Low Sex Drive
This May Be Your Problem

Lackluster libido? Try clearing your home of these sex-drive annihilators!
Have you heard the gross fact about many sodas? Some, like Mountain Dew, list brominated vegetable oil—or BVO—as an ingredient. Bromine products are linked to male infertility, impotence, and decreased libido. (Check out this soda infographic to see how the drink impacts your entire body.)
For that same reason, it's also a good idea to avoid other sources of brominated flame retardants, including one found in some carpet padding. That means wet-mopping and vacuuming with a HEPA-filter-enabled vacuum cleaner often so flame retardants don't accumulate in your household dust.


Your Bones May Be In Trouble
Osteoporosis - Bone Degenration

Maintaining a healthy body is important for seniors and one aspect of health that is especially important is bone health. Bone health ranges from the good and the bad and the importance of your bone health is paramount. One condition of poor bone health includes osteoporosis. Osteoporosis means porotic bones which in layman’s terms means holes in the bones. Bone health is something that can be measured through a DEXA scan and is something that every senior should have done regularly to check the health. Just as we have regular physical examinations, bones need a regular check up through the years to ensure strong, safe bones.

While some may believe that breaking bones comes naturally through the aging process, there is strong knowledge to show that bones can remain strong even as the individual ages. Listed below are some signs of osteoporosis you should be aware of to help prevent breaks, fractures, and brittle bones. It is vital to discuss any of the following signs with your doctor or healthcare provider if you experience them at any given time. In addition, be sure to discuss all medications with your healthcare provider and be sure to discuss your diet and lifestyle.

1. Poor Posture.

Having a poor or stooped down posture can be a big indicator of the health of your musculoskeletal system. A stooped posture could indicate a weakness in the vertebrae which is a serious indicator of osteoporosis. If you feel your posture is stooped down or in a poor state, consider having your bone density evaluated by your doctor to determine the health of your bones. A hunched posture could indicate a soft area in your bones which could be causing part of the hunching over. In addition, if your vertebrae are affected by bone mass loss then it could lead to debilitating disability


Dan Austin MD Takes Over Transatlantic Times Publication
Renewed Emphasis in Media Investment

Transtlantic Times world publication announces the acquisition of their media company by US investment group led by Dan E. Austin MD. Dan Austin a medical doctor by training has had series of successful investments internationally, and with a home base in Washington DC Area, USA, the new venture will further increase Transatlantic Times access to more USA markets.

Hundreds donate blood on World Blood Donor Day



VARANASI: The mega blood donation camp, titled 'A Drop to Life', jointly organised by THE TIMES OF INDIA.com and Shubham Hospital, in association with the Indian Medical Association (IMA), Varanasi branch and Red FM, received overwhelming response on Tuesday.

Hundreds of people queued to donate their blood voluntarily in two sessions, which were organised at Sigra and Khajuri branches of Shubham Hospital to mark the World Blood Donor Day. While huge turn out of denizens was witnessed at Sigra branch, the highlight of the day was special contribution and encouraging response from hospital staff and doctors of Shubham Hospital.

The mega blood donation camp began with voluntary blood donation of Dr Prashant Singh of Shubham Hospital, who also motivated other people to donate blood on the occasion. Later, a number of people including professionals, businessman, doctors and bank employees also volunteered for blood donation.

Joining the list of blood donors were Ashish Verma, station head, Red FM. A total of 72 units of blood was collected in the mega camp. The collected blood would be stored in the IMA blood bank, which would be later used for general public.

Meanwhile, a group of 47 young people also donated blood at the blood bank of Sir Sunder Lal Hospital, Banaras Hindu University (BHU).


Opposition seeks cancellation of Legislative Election In Ebonyi
Nigerian Tribune News

All the major opposition parties in Ebonyi State have called for the cancellation of the result of the last national assembly election in the state, following what they described as massive irregularities in the exercise.

The parties, including the Accord Party (AP), Action Congress of Nigeria (ACN), All Nigeria People’s Party (ANPP), All Progressives Grand Alliance (APGA) and the People’s Democratic Convention (PDC) warned that subsequent elections in the state will be accompanied by bloodshed if the last one was not cancelled.

The leaders of the party, who addressed a world press conference held at Abakaliki, the Ebonyi state capital, accused officials of employing state machinery to work against the opposition.

“It is sad and regrettable that while the elections in other states of the federation are being commended, it was a brazen show of shame in Ebonyi to return the ruling People’s Democratic Party (PDP) to power by all means by the combined forces of PDP government officials, the Army and INEC ad-hoc electoral officials. The conduct of the election was against all known laws and regulations guiding election process in the country,” they said.

The parties stated that contrary to the much-advertised rules of INEC that the appointment of electoral officials, notably the collation officers and returning officers, shall be from state institutions and agencies, all the collation and returning officers in the election were appointed from staff of the Ebonyi State-owned university.

The parties said the returning officers, despite protests from other political parties, accepted falsified figures that were not signed by presiding officers. “These results were all recorded in favour of the PDP. This happened in most wards in Ikwo and Izzi local Government Areas,” they said.

How it was done

The opposition parties further alleged that the election was characterised by brazen diversion of electoral materials to private homes by thugs, in collaboration with soldiers and policemen.


Cameroon Soccer Star Samuel Eto'o Lashes Out at Reporter



Journalists: Beware of questioning the performance of Cameroonian international
soccer superstar Samuel Eto'o on the field. The act could result in a head butt--as
reporter Philippe Boney experienced in 2008--or in rough words, as a Senegalese
reporter experienced in a postgame press conference on Saturday.

That day, Cameroon's Indomitable Lions lost to Senegal's Lions 1¬0 in a qualifier
match for the 2012 African Nations Cup in what observers considered an upset. In
the postgame press conference in the Senegalese capital, Dakar, Moussa Tandian,
a local correspondent for leading Cameroonian independent broadcaster Equinoxe,
asked the 30¬year¬old striker and team captain whether he thought the
disappointing performance meant that the golden era of his generation of players had
passed.

The answer came with contempt as Eto'o lashed out at Tandian while the cameras
were rolling. "I'm rather surprised, dear brother, because you are making yourself
noticed negatively," Eto'o said. "You should rather think about excusing yourself."
Eto'o told the journalist he should "thank" Cameroonian players for their performance.

"I think that you are not Cameroonian," he went on. "I will speak to your boss at
Equinoxe because you don't deserve to work for this wonderful channel." He went on
to say he was struggling to make Cameroon and Africa proud before questioning the
motives of critical journalists.

"You journalists, certain journalists like you, you who do not want Africa to advance,
you who do not want Cameroon to advance, you are always negative, try to change a
little," he said, as he pointed to Tandian.

Eto'o later apologized to Tandian, according to Théophile Biamou, a top executive for
Equinoxe. "There are no bad questions," Biamou said to CPJ after the apology.
"There are rather bad answers."



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