NSE 31A/B Chapter Notes - Chapter 4: Professional Responsibility, The District Nurse, Lillian Wald

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Public health: the organized efforts of society to keep people healthy and prevent injury, illness, and premature death. A combination of programs, services, and policies that protect and promote the health of all. The earliest documented references to public health occurred before canada became a nation. Infectious diseases, particularly the cholera epidemic, accounted for the deaths of countless indigenous peoples and early settlers. Influenced by england"s sanitary movement, canadian sanitary reformers worked diligently to clean up water supplies and manage sewage removal, and then championed public health development in canada. In 1867, health and social welfare matters were the delegated responsibility of the provinces. This public health act, passed in 1884, became the model for legislation in other provinces across canada. Lillian wald described nurses who worked with low-income communities as phns, setting them apart from nurses who cared for sick individuals in hospitals or in high-income homes.

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