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NUR 503
Mid-Term Study Guide

1. Understand and compare the different measures of morbidity (p. 41-58)
Incidence rate is defined as the number of new cases of a disease that occur during a
specified period of time in a population at risk for developing the disease. Incidence rate
per 1,000=
No. of new cases of a disease occurring in the population during a specified period of
time/No. Of persons who are at risk of developing the disease during that period of time
X 1,000. Incidence is a measure of events; measure of risk (transition from non-diseased
to diseased).

Prevalence is defined as the number of affected persons present in the population at a
specific time divided by the number of persons in the population at that time. What
proportion of the population is affected by the disease at that time? No. of cases with




m
disease/No. Of persons in the population X 1,000. We don’t determine when the disease




er as
developed; just a snapshot of who has it at that time. We can’t account for duration of the




co
disease.




eH w
a. Incidence and prevalence




o.
i. Define
rs e
ii. Understand why data are important for measuring risk
ou urc
iii. Interpret findings
iv. Understand the relationship between incidence and prevalence and impact of each on
duration of disease
o

Prevalence=Incidence X Duration of Disease
aC s


v. Calculate incidence rate
vi y re



vi. Calculate prevalence rate
vii.Relationship between prevalence, incidence, and mortality
Prevalence and incidence are related by the duration of disease. If incidence is
ed d




increasing over time, then duration of illness has to decrease in order to keep the
ar stu




prevalence rate constant. This may occur through better treatments to cure disease or
through higher case-fatality rates as a disease becomes more lethal. Since incidence is
increasing over time, it is evident that risk is also increasing and that prevention efforts
are not successful.
is




viii. Examples of incidence rates and prevalence rates
Th




2. Surveillance
Active surveillance entails a concerted effort to collect information about disease
occurrence. It typically involves dedicated staff members who have been specifically
sh




directed to contact physicians and hospitals in order to collect reports of disease cases
in a specified population. This activity requires a large amount of staff and resources in
order to accomplish its goals.
a. Importance of surveillance
b. Define and discuss passive versus active surveillance, including examples and



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