Tuesday 26 August 2014

Just as water retains no constant shape, so in healthcare, no constant conditions

Military tactics are like unto water; for water in its natural course runs away from high places and hastens downwards.

So in war, the way is to avoid what is strong and to strike at what is weak.

Water shapes its course according to the nature of the ground over which it flows; the soldier works out his victory in relation to the foe whom he is facing.

Therefore, just as water retains no constant shape, so in warfare there are no constant conditions.

He who can modify his tactics in relation to his opponent and thereby succeed in winning, may be called a heaven-born captain.

The five elements (water, fire, wood, metal, earth) are not always equally predominant; the four seasons make way for each other in turn. There are short days and long; the moon has its periods of waning and waxing.



From "Sun Tzu on the Art of War - The Oldest Military Treatise in the World"
Translated from the Chinese By Lionel Giles, M.A. (1910)

Discussion:

This part is rather straight forward translation. However, the last paragraph may well stay as it is but a trial was made to put it into the context of the whole system approach in the healthcare.

Translation:

Treatment designs are like unto water; for water in its natural course runs away from high places and hastens downwards.

So in treatment the way is to avoid what is contraindication and to look at what is indicating.

Water shapes its course according to the nature of the ground over which it flows; the practitioner works out the care plan tailored to the patient conditions which the team is facing.

Therefore, just as water retains no constant shape, so in healthcare there are no constant conditions.

Those who can modify their care plan in relation to patient's needs and thereby succeed in treatment, may be called an excellent healthcare performance.

The five elements (medicine, surgery, nursing, allied health, administration) have no fixated priorities; the acute and chronic make way for each other in turn. There are short stays and long; the health demand has its periods of waning and waxing.


Ray Murakami

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