Interview A Registered Nurse From Georgia University Medical Center Essay

According to the American Diabetes Association, more Americans die each year from diabetes than from AIDS and breast cancer combined. As a result, researchers have extensively studied the causes, treatments, and interventions for diabetes. Despite efforts to ameliorate its effects, diabetes remains a prevalent danger in society. In 2014, 7% of U.S. adults were living with diagnosed diabetes (Centers for Disease Control and Prevention [CDC], 2016). In Louisiana that number was even higher - 10.4% of adults have been diagnosed with diabetes. Breaking it down by age group, however, in Louisiana 3% of people aged 18 and 44 have been diagnosed, and 15.2% of people 45-64. (Centers for Disease Control and Prevention [CDC], 2015a). Several studies have predicted future rates of diabetes both in the United States and worldwide - nearly all of these studies reached a similar conclusion: rates of diabetes will continue to rise (Boyle et al., 2001).

Uncontrolled diabetes can affect nearly every organ of the body; of which, heart disease and kidney failure are most commonly impacted. Known as diabetes mellitus, a collective term for various blood abnormalities, the term diabetes refers to either a scarcity of insulin in the body or the body’s inability to accept insulin. Though the symptoms of diabetes are manageable, many are unaware as to having it. According to the CDC report “2011 Diabetes Fact Sheet,” approximately 6 million people in the United States have undiagnosed diabetes. Undetected, diabetes can become deadly. In a recent World Health Organization report “Diabetes Action Now: An Initiative of the World Health Organization and the International Diabetes Federation,” it

Diabetes mellitus (DM) is a pandemic that affects millions of people. The growth rate of unrecognized pre-diabetes in America is expected to rise up to 52% by 2020 (Lorenzo, 2013). As the prevalence of diabetes increases, so will the complications and burden of the disease. One of the leading causes for cardiovascular disease, renal failure, nontraumatic lower limb amputations, stroke, and new cases of blindness is DM (Lorenzo, 2013).

Diabetes affects over 180 million people in the US and is projected that by 2025 this figure will increase to 300 million.

Diabetes mellitus is a group of diseases characterized by high blood glucose.and the disease accounts for 3.1% of total deaths in the U.S.

This interview was conducted on October 12, 2016, with Judy Hayes, RN. Ms. Hayes began her nursing career in 1981 as a primary nurse at New England Medical Center (NEMC). During her tenure she held various positions ultimately becoming the manager of the Surgical Intensive Care Unit (SICU). Over the years Ms. Hayes has worked for private consulting firms and attained the Directorship of Utilization and Care Management at St. Elizabeth’s Medical Center (St. E’s). In 1999 Ms. Hayes joined Brigham and Women’s Hospital (BWH) as Director of Professional Practice and Staff Development. From 2005 through the present Ms. Hayes has been the Vice President of Nursing and Chief Nursing Officer (CNO) at the Brigham and Women’s Faulkner Hospital (BWFH).

When speaking with healthcare provider Denead Buoy, RN, MSN, she explained that diabetes mellitus is a condition in which the one has elevated blood

According to the American Diabetes Association (2016), more Americans die each year from diabetes than from AIDS and breast cancer combined. As a result, researchers have extensively studied the causes, treatments, and interventions for diabetes. Despite efforts to ameliorate its effects, diabetes remains a prevalent danger in society. In 2014, 7% of U.S. adults were living with diagnosed diabetes (Centers for Disease Control and Prevention [CDC], 2016). In Louisiana that number was even higher - 10.4% of adults have been diagnosed with diabetes. Breaking it down by age group, however, in Louisiana 3% of people aged 18 and 44 have been diagnosed, and 15.2% of people 45-64. (Centers for Disease Control and Prevention [CDC], 2015a). Several studies have predicted future rates of diabetes, both in the United States and worldwide - nearly all of these studies reached a similar conclusion: rates of diabetes will continue to rise (Boyle et al., 2001).

The effects of diabetes are nothing less than devastating. It is a disease that is affected by interdependent genetic, social, economic, cultural, and historic factors (CDC, 2011a). In the United States, nearly 26 million Americans are living with diabetes, and another 79 million Americans have prediabetes (CDC, 2011a). Diabetes has been associated with reducing the quality of life of people with the disease, and it also has a tremendous economic burden on our health care system. In 2007, diabetes and its complication accounted for $218 billion in direct and indirect costs in 2007 alone (Dall, et al., 2010).

The purpose of this paper is to describe an interview with an advanced practice nurse at Mercy Hospital in Ardmore. Devon Perry APRN-FNP, who goes by “Devo,” agreed to participate in the interview on November 30, 2015. I currently work with him in the Emergency Department in Ardmore.

According to Born (n.d.), diabetes has become a growing concern throughout the world with an increase of diabetes related cases by 4.1 percent since 1985. There are currently 285 million people suffering from diabetes and it is estimated that this number will increase to 438 million by 2030. Diabetes cases are not only reported among adults but also children with 18.8 million diagnosed cases and 7 million undiagnosed. In the United

Diabetes is a major medical problem in the US. In the year 2015, it was reported that 86 million Americans are diagnosed with prediabetes (ADA, 2016). Diabetes is the seventh leading cause of death in the United States (CDC, 2016). Research has

now become one of the leading causes of death among Americans. According to the American

Diabetes in the population: a report issued in 2014 estimated that approximately 22 million American has diabetes.

Health Issue: Diabetes mellitus (diabetes) has been positioned among the main sources of death for a considerable length of time. Current reports express the overwhelming rate of subjects living with diabetes in the United States, starting in 2012, was around 29.1 million (CDC, 2014). In addition, the incidence rate shows an estimated 1.5 million new instances of diagnosed diabetes are recorded in the U.S. each year (CDC, 2012). The incidence rate of diabetes in Texas among adults aged 18-76 years, accounted for close to 132,000 new instances that same year (CDC, Texas -total number (in thousands) of new cases of diagnosed Diabetes 1996-2010). Furthermore, in Texas, the prevalence rate of diabetes was around 1.7 million starting in 2010