Health Care and Living Wills Versus Power Of Attorney

Within your own personal health care there is the end of life issues that can occur. Knowing how you want these handled is important, so that there are not other problems that can arise if the situation were to occur. Even where is a living will in place, a power of attorney should also be in place as well, this helps to ensure that all issues are thoroughly covered and you know you will be taken care of the way you want to in the event of end of life.Living WillA living will covers what to do and not do in the event that there are end of life decisions to make. This document only goes into effect when you are no longer able to make decisions yourself and you are incapacitated. This could be for numerous reasons, from a coma to an injury that has occurred. It also covers if you are completely mentally incapacitated as well. A living will typically covers:
Medical Care That Prolongs Life – This is care and treatment that will prolong your life. This could be blood transfers, dialysis, drugs, surgery or respirators for instance.
DNR or Do Not Resuscitate Orders – These stipulations work with the above in the sense that you can specify whether you wish to be resuscitated or receive CPR. These types of orders should be specified to the hospital and doctors you work with, as well as wearing a medical alert bracelet that specifies this decision.
Food and Water That Prolongs Life – This specifies whether you want to receive food and water through external means. This can happen when there is an injury or a coma and a person can only live through intravenous food and water. Typically when these are stopped a person will pass away from dehydration. You can specify if you want this type of treatment, the conditions when this should happen and for how long this should go on for.
Management Of Pain – This is also called comfort care as well and it is when you decide to die naturally, but not in pain. You are kept comfortable while dieing to improve the quality of life and dignity in the event of death. You can specify that drugs do be administered to keep you comfortable, but not in pain.Power Of AttorneyEven when there is a living will in place, a durable power of attorney for health care decisions is necessary and recommended. The agent is given only as much power as you decide and can cover all decisions that the living will does not cover. If you do not specify the amount of power given, many states allow the agent comprehensive power when it comes to end of life decisions. A durable power of attorney for health care can cover, but is not limited to:
The power to consent to medical treatments.
The power to deny medical treatments.
This is as long as it does not go against anything that is already in your living will.
Making the decision of which medical facility to use.
They can make the decision of which doctors and other personnel to use for your treatment.
They can go to court on your behalf to determine whether to with hold or continue medical treatment.
The power to decide what to do with your remains and whether or not to donate your organs.
Make sure to specify your wishes on these matters in the living will and even in the power of attorney document when you have direct feelings about these practices.
They can access your medical records.
They typically do have visitation rights.

Understanding And Coping With Difficult Managers

I have conducted countless management workshops in my professional life for various clients and the question that continuously is asked during the workshop is, “how do I manage my manager”? I hear such comments as, “my manager should attend this workshop” or, “my manager requires this workshop badly”.Unfortunately, the participants who are saying these comments are not alone in their frustration. Based on my calculations, previous experiences and reading data based networks, approximately twenty eight per cent of all working Canadians believe that they work for a good manager; thirty eight per cent say they would fire their manager if they could; four per cent would have their manager assessed by a psychologist and thirty per cent would send their manager to management training.No doubt, many people are a victim of circumstance and wind up working for a manager who is weak and ineffective. We don’t often choose the manager we work for and we do not have to fall victim to their short comings. It is important to realize that we cannot control or change our manager but, we can control and change the way we interact with them.It is true that some managers are just plain bad people. They have no respect for others nor do they respect their professional environment or the company they work for. These managers are miserable and their values evil; as a result, they don’t respect themselves. Although these types of managers are few and far between, you may work for a manager like this. Should this be the case, there is virtually nothing that you can do about it. Accept the fact that this is the situation and make a decision to stay or leave.On the hand, most difficult managers are not aware of the fact that they are difficult. They actually think they are good managers setting good examples of leadership. Understanding why and how your manager has gone off track may help you choose the best strategy for working with him or her.Here Are Seven Reasons Why Managers Are Difficult:Micro managementSome managers have been embarrassed by someone’s poor performance in the past and they are determined not to let this happen again. As a result, they are involved in every detail and decision that takes place in the business unit usually confusing results with activities. This is compounded when the manager’s boss expects him or her to micro manage the daily activities of the business unit. Micro managing leads to ineffective time and priority management skills and eventually disconnects the boss from subordinates.In over their headsMany difficult managers have been promoted to their current position because of their technical skills, their good attendance record, their willingness to work extra hours or their friendly non threatening relationship with their boss. Critical management skills such as organizational skills, leadership skills and decision making skills are given little or no consideration, resulting in an ineffective and at times a burdensome manager.Management by numbersToo many managers have been trained to manage by numbers. They are firmly committed to letting the budget manage them rather than take the initiative to manage the budget. These managers make all decisions solely based on the numbers regardless of the collateral damage in the workplace. People are disposable balance sheet items that are expected to get the job completed within the pre determined financial parameters.Bad boss mentor syndromeMost difficult managers learn at the feet of the master and unfortunately were promoted to their current position by the master. Mentored by bad examples, they in turn mimicked the same bahaviours. The master has taught them the art of micro management, management by numbers and the take no prisoner approach by being rudely blunt and talking down to subordinates.OverworkedDifficult managers all have one thing in common; they are fire fighters. Not only do they micro manage they are in the thick of many confrontations leaving little or no time to be proactive and get the job done. This can be disastrous for a difficult manager because s/he begins to work harder; not smarter, they push harder on their people to get the job done and become intolerant to mistakes. They are ineffective because they are ill equipped to deal with the pressures that today’s business opportunities bring causing their lack of leadership and analytical skills to become evident. There is little or no time for professional development as training may be seen as a sign of personal weakness or a luxury that the manager or subordinates cannot afford or don’t require.Poor communicatorsIn the world of information technology many leaders feel compelled to increase communication through the utilization of email, high speed internet and black berry’s. Difficult managers tend to over use these methods by sending off emails to address challenges that should be addressed face to face or, at the very least over the telephone. To carry the problem further, some have reverted to conducting performance evaluations via email in order to reduce time constraints that have been caused by being overworked. The more connected a difficult manager gets to the information highway the more disconnected and disoriented become the subordinates.Selective feedbackMany difficult managers surround themselves with “yes” people. People who tell them they are doing well when their performance is terrible. Since they are apt to surround themselves with people that exemplify their behaviour, they really don’t know that their performance is less than satisfactory. They intentionally or unintentionally choke off open and honest feedback and believe they are doing a good job because, no one has told them differently.Strategies For Coping With A Difficult Manager:You cannot manage something that you cannot control. Many of us have tried to manage our personal relationship’s and we have found that we are worse off in comparison to when we started. If you can control something then, you can manage it. Difficult managers are much the same. They cannot be managed because they cannot be controlled. We can cope with but, not control a difficult manager.Here are seven strategies you might consider when coping with a difficult manager.Support your managerDo not, under any circumstance put down or bad mouth your manager in front of subordinates, peers or other managers. This is known as mutiny and the consequence of such can be severe. Ensure that your manager gets an abundance of credit for the work that you have done, even if s/he doesn’t deserve it. In all your tasks, make sure that you cater to their strengths and be quick to play down or avoid their weaknesses.Be an initiatorYou have heard the saying, “it is better to beg forgiveness than ask for permission”. The same can be said when dealing with a difficult manager. Establish your top goals and objectives (four to six is very manageable), get your manager’s input, adjust accordingly and make it happen. Keep your manager informed on a regular basis and reset priorities only when absolutely necessary. Difficult managers will leave you alone because they are over matched and you are the least of their challenges. They may even view you as being a star performer because you are the least of their challenges.Crash manage prioritiesIf you are a star performer, sooner or later your manager will come to you with urgent matters. When s/he does, pull out your previously agreed upon list and ask what items are to be moved or rearranged in order to accommodate the request. Focus your energy on those items that you can control and cautiously select those elements that you believe you can influence.See the political landscape for what it isEverything in business is political except politics, that’s personal. Learn how to play the political game by determining who the players are and how the game is played. Remember, organizational politics is a function of responsibility, accountability, authority and influence and, it is part of the organizational landscape. If you have more than one person working in your organization ; you have politics. Politics pervades our daily working life. That means building strategic relationships with others that might include personal trust and professional networks. The key is to remember 30% of people are doers, 50% are fence sitters and 20% are naysayers. Work with the 30% because these are the people who are willing to move ahead and make things happen.Be credibleThe biggest intangible you have to deliver your boss is your credibility. Do what you say you are going to do, do it with passion, professionalism and exceed expectations. Never under deliver, over promise or compromise your commitments to others. Credibility will establish leadership potential and keep you in good stead with the manager and others.Timing is everythingYou must be patient and wait for the right time to approach your manager. Are they more receptive in the morning or afternoon? Is s/he more receptive to one on one conversations, team meetings or carefully worded proposals? Many times they are going to have bad encounters with others and this is usually accompanied with negative consequences. It’s a good idea to anticipate these encounters and never approach him / her afterwards.Don’t be a victim of circumstanceRemember, you cannot manage those things that you cannot control and you cannot control your manager. Always be building professional relationships within the organization with your peers, your manager’s peers and other business unit leaders. Your best strategy to not becoming a victim is having a well planned exit strategy.

Most Exotic Fitness Spas and Resorts

There are numerous fitness spas and resorts that offer a variety of treatments to rejuvenate your body and mind and make you physically agile and mentally alert and slow down your aging process. Visitors come in large numbers to undergo the wellness therapy that consist of body work, lymphatic massage, aromatherapy, yoga and meditation, body scrub, mineral salt scrub, facials and cocoons. There are also skin treatments, facial, hair and body tanning treatment.Most of them are well preserved, friendly and comfortable and are usually small and compact and have multiple treatment rooms. The most exotic fitness spa resorts have a variety of spa packages that offer different treatments. They have a large feature a large suite with spa tub and shower, herbal and Finnish sauna, reflexology foot drops, ice fountain and aroma steam bath. They also provide the porch and manicure and pedicure treatments.As heat and water can provide enormous health benefits, most of the spas include exclusive water features. The aqua therapy features a 30-by-15-foot therapy pool with airbed loungers, a torrent cascade, neck fountains and an air tub with body rub jet counter.A part of the pool area contains a wide thermal suite and whirlpool featuring herbal and sensory showers, adventure related activities like windsurfing, rock climbing and Para-sailing.Fitness spa resorts feature many premium facilities like original sea planetarium, first-class dining comfort, a theater, indoor and outdoor swimming pools, a casino, hot tubs, kid-friendly facilities, boutiques, large wine collections, libraries and ballrooms.A fitness spa is a type of spa that typically incorporates elements of dieting, exercise, recreation and total body rejuvenation as a method of helping their clients. During their stay, a trained weight management professional will evaluate the clients’ weight loss needs. Besides, a fitness spa usually employs fitness trainers, nutritionists, healthcare personnel and counselors to work with their clients on all fitness programs.Spa resorts are places where you will be provided with healthy, nutritious and delicious meals coupled with boot camp workouts and fitness retreats. Fitness spas teach stress-management methods as well as provide individual help with diet guidelines by a qualified dietitian, sports conditioning and exercise physiology by experienced professionals. Many fitness spas also organize wellness education seminars.Whether you want to get away from the din and bustle of routine living, lose weight, recover from stress, improve your fitness levels, undergo a rejuvenation therapy, then fitness spas and resorts are the places you have to look for. Most spa resorts allow for individual attention and encourage exploration into new areas of physical fitness.Most of the fitness resorts are located in places that are surrounded by natural sceneries, quaint hillocks and gorgeous landscapes. In the fitness resorts, you can expect a variety of programs and water treatment exercises. You will also undergo various boot camp workouts such as cardio workouts, weight training and other exercises that strengthen your physical structure.The more expensive luxury fitness spas provide all-inclusive care, with meals, posh accommodations, body & mind exercise classes and wellness lectures. These luxury spas often offer perks such as private massage therapy, fine dining, and luxurious suites. In addition, many of them have on-site hair stylists and beauty consultants. They may also offer low-stress activities such as swimming or golfing.