Required ResourcesRead/review the following resources for this activity:Textbook: Chapter 6, 10LessonInstructionsAristotle defined tyranny as an illegitimate form of government by one individual that tightly controlled every part of life and government. Adolf Hitler is the most notorious tyrant. Using a totalitarian society from the past or present, discuss how the state and its leader attempt to impede citizens from exercising their rights. In your discussion, explain some components of an “ideal citizen,” consequences of voter apathy, and ways the state controls the citizen.Writing Requirements (APA format)Length: 1.5-2 pages (not including title page or references page)1-inch marginsDouble spaced12-point Times New Roman fontTitle pageReferences page (minimum of 2 scholarly sources)

Overview: As a community of practice, your task for this week is to  collaborate with professionals across the health care system. With your  community of practice, in the Discussion, find a gap in care or social  determinant that often results in poor health care outcomes. You will  begin to take the lead in advocating for and collaborating with others  to improve the health care outcomes for populations at risk.Practicum Discussion: During this week, you will identify a  population at risk in your community. This population will be the basis  for your Practicum Discussions and your individual presentations over  the next 6 weeks, as well as the focus of your final PowerPoint  presentation in Week 6. To review, a population is a group of  individuals who share a common environmental or personal characteristic,  such as obese individuals who are at risk for diabetes or  cardiovascular disease (populations at risk) or those individuals who  are otherwise healthy and could stay healthy if they do not develop  risky behaviors (populations of interest). An example of this is  teenagers who don’t yet smoke but might consider it due to peer pressure  (Stanhope & Lancaster, 2016). Some of the topics you might consider  are vaccination compliance, obesity rates among children and adults,  teenage pregnancy, or infectious diseases such as Norwalk virus, genital  warts, or sexually transmitted diseases/infections. You might look also  at emerging public health problems such as Chagas or the Zika virus.  Some of the places you might consider looking for information to  substantiate and support your ideas about populations at risk in your  communities are your local health department, the CDC, and the many  evidence-based websites that the CDC supports, such as the CDC Wonder  (http://wonder.cdc.gov/). You may also review the work of other  community groups that focus on improving health care outcomes for your  community. You should begin to support your selection of population and  ideas about their health care problems through the use of health data  and scholarly literature.Please address the following points in your Practicum Discussion:Briefly describe your community and then describe your practice setting.What are the determinants of health in your community?  (https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health)What are the most prevalent health problems in your community or in your practice?Choose a population at risk and describe the health problem specific to that population. Remember t

For this assignment you will prepare a scholarly product that reports your progress (or results) and implications of your DNP project to a designated audience. If you are not in the implementation or evaluation phases of your DNP project  you may report on a project that you have worked on during your practicum experiences with the practicum site. While you are not required to actually present your work it will be beneficial for you to prepare your product for dissemination now while you can receive feedback from your peers and faculty committee.Your scholarly product may be in the form of a manuscript for publication, project summary and evaluation report, conference proceedings, poster presentation, program evaluation report, grant proposal, media or technology-based deliverable, or a different faculty approved product. The scholarly product is due to your Instructor by Day 7 of Week 10 so you may receive feedback on it before finalizing your DNP Project Paper (a DNP program requirement). Unless otherwise arranged with your Project committee, your final product must include the following information, and must be written in a style appropriate for your intended audience:Background, Purpose, and Nature of the ProjectDescribe the larger problem or issue you explored in your DNP Project. Explain how this problem or issue affects nursing practice and the overall health care system, and describe how your DNP Project explored possible strategies for addressing the problem or issue.Research Design, Setting, and Data CollectionBriefly explain the methods you used to carry out your DNP Project, including any relevant theoretical frameworks or models. Identify the practice setting and context in which you conducted your project, as well as the sample/population as applicable. Outline your data collection methods and justify why you chose these methods.Presentation of ResultsExplain the results of your DNP Project. Include any relevant graphs, tables, charts, models, or other visual representations of your data/results. Include a short description of each visual, what it displays, and how it relates to your project.Interpretation of Findings, and Implications for Evidence-Based PracticeShare the results of your DNP Project, and provide an interpretation of your findings. Describe how the results can be translated into evidence-based practice. Explain how this would impact the main problem or issue you explored in your DNP Project.

reply 1ou are seeing a patient with fatigue, pallor, dyspnea on exertion, and palpitations. The patient is 50 years old. Laboratory report indicates a low hematocrit 32, hemoglobin 9.7 and reticulocyte count low at .47% MCV of 78 and MCHC of 32.1.Describe the pathophysiologic process of Anemia. Identify two differential diagnoses and provide the pathophysiology of these two differential diagnoses.Anemia occurs when the body’s physiological needs for a certain number of red blood count (RBCs) and hemoglobin (Hgb) are insufficient or decreased in the volume/concentration of high. When this occurs the oxygen demand increases, and the body compensates for the differences. This condition can be diagnosed using certain labs, or complete blood count (CBC). These labs include the RBC count, Mean corpuscular volume (MCV), reticulocyte, and the mean corpuscular Hgb concentration (MCHC), (Chaparral, 2019). The RBCs will tell you the number of red blood cells that are circulating. The MCV tells you the size. Normal for an adult is 80-100 femtoliters, or (fl), if its higher than this would then be macrocytic anemia and microcytic anemia if it is under these values. The MVC can be calculated using the following formula: HCT x 10/[RBC, (Martin, 2019). The MCHC is another value that is observed. It can be calculated by dividing the HGB by the HCT. The fatigue, pallor (blood shunting away from the abdomen to the brain) is due to the lack of hgb. The dyspnea on exertion (DOE) occurs due the lack of O2 as well. The heart rate goes up to attempt to get oxygen to the tissues that are lacking O2.Differential Diagnosis: Iron deficiency anemia, Folate anemia.Folate Anemia Causes:Decreased IntakeInadequate diet, alcoholism, infancyImpaired absorptionMalabsorption statesIntrinsic intestinal diseaseAnticonvulsants, oral contraceptivesIncreased lossHemodialysisIncreased RequirementPregnancy, infancy, disseminated cancer, markedly increased hematopoiesisImpaired UtilizationFolic acid antagonistsUnresponsive to Vitamin B12 or Folic Acid TherapyMetabolic inhibitors of DNA synthesis and/or folate metabolism (e.g., methotrexate)Folate acid and B-vitamin is needed to form the pigmented, iron-containing part of the Hgb. This can lead to issues with the maturation of red blood cells. This type of anemia can lead to leukopenia (deficiency in white blood cells).Iron-deficiency anemia can happen when there is a malabsorption issue of iron (Fe), or inadequate dietary iron.ReferencesChaparral, C,M., & Suchdev, P.S.. (2019). Anemia epidemiology, pathophysiology,and etiology in low-and middle income countries. Annals of the New York Academy of Sciences, 1450(1),15- 31.https://doi.org/10.1111/nyas.14092Martin, L. (2019). What does a mean corpuscular volume level measure.Medical News today,https://medicalnewstoday.com/articles/MCV-levelsMcCance K., L., & Huether, S., E. (2018).Pathophysiology: The biologic basis for disease in adults and children(8th ed.) St Louis, MO: Mosby InclessReply 2ew York Academy of Sciences, 1450(1), 15–31. https://doi.org/10.1111/nyas.14092McCance K., L., & Huether, S., E. (2018). Pathophysiology: The biologic basis for disease in adults and children (8th ed.) St Louis, MO: Mosby Inc; ISBN-13: 978-0323583473Turner J, Parsi M, Badireddy M. (2020). Anemia: A new diagnostic work-up for defining anemia etiologies: a cohort study in patients ≥ 50 years in general practices. BMC Fam Pract 21, 167. https://doi.org/10.1186/s12875-020-01241-7less2 Unread2Unread2 Replies2Replies6 Views6Views