Joy Pape RN BSN CDE WOCN 202 South Glenwood Columbia, Mo Phone (573) Fax (573)

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1 Joy Pape RN BSN CDE WOCN 202 South Glenwood Columbia, Mo Phone (573) Fax (573) Qualifications Over 20 years experience as a Registered Nurse in Hospital, Residential Care, Outpatient, Public Health, and Home Health Settings. Expertise includes Diabetes Education, Consulting, Wound, Ostomy, Continence Nursing, Home Health, Marketing, Business Development, Presentations, and Student Mentoring. See section: Related Scholarly Activities & Presentations in Diabetes, Weight Management, and Low Carbohydrate Lifestyle. Professional Experience 2000-Present EnJoy Life! LLC President Provides diabetes, health and weight management, wound and skin care consultation for individuals, organizations and corporations. This includes individual teaching and care, presentations and writing. Contributes to journals and web sites. Columnist for local business journal and national diabetes journal. Provides professional presentations as part of a health education/comedy team, Laugh It Off educating, enlightening, and entertaining people about healthy lifestyle choices. These programs are tailor made for the audience be it health and weight management, specific disease processes, complementary and alternative medicine, diagnostic and pharmaceutical strategies. I d Rather Walk, a book about simple steps making big health strides is soon to be released Boone Hospital Center, Columbia, MO Diabetes Coordinator Provided diabetes education for patients in inpatient and outpatient settings. Liaison for diabetes care for physicians, staff, inpatient, outpatient, clinic, home health settings. Increased awareness of diabetes and treatment to physicians, staff, and community. Increased patient referrals for diabetes education in inpatient and outpatient setting. Wrote for several hospital wide publications. Increased referrals by 142% in the first nine months. Diabetes Coordinator Assess and educate patients, families and staff about newly diagnosed and longstanding diabetes Schedule outpatient and inpatient education Program Coordinator and nurse educator teaching about: psychosocial aspect of diabetes disease process treatment plans, meal planning, exercise, medications self blood glucose monitoring prevention of complications gestational diabetes preconception diabetes and pregnancy reimbursement foot screens

2 Planned and spoke to monthly diabetes support group for Boone Hospital Center Program Coordinator for American Diabetes Association Recognized Diabetes Self Management Program at Boone Hospital Center Chairman, Advisory Board for Diabetes Wellness Program at Boone Hospital Center President of Central Missouri Chapter of American Association of Diabetes Educators Home Care of Mid Missouri, Moberly, MO Home Health Nurse and Nurse Educator Increased awareness of home health care, diabetes, and enterostomal therapy nursing in the community. Provided networking and education for health care providers. Increased referrals to Home Care of Mid Missouri providing state of the art care. Certified Diabetes Educator Assessed and educated patients and families with newly diagnosed and longstanding diabetes including disease process nutritional therapy exercise self blood glucose monitoring medications prevention of complications choosing and ordering needed supplies reimbursement Professional Advisor for Moberly Area Chapter of American Diabetes Association Planned meetings for local educational support group Frequent speaker for local educational support group Educated Physicians and Nursing Staff about recent developments in Diabetes Presented at Professional Conferences about Diabetes Formed Moberly Area chapter of the American Diabetes Association Frequent radio talk show guest on subject of diabetes Formed and past President of Central Missouri Chapter of American Association of Diabetes Educators Certified Wound, Ostomy, Continence Nurse Increased awareness of the population of people with ostomies, wounds, and continence problems. Increase in referrals to Home Care of Mid Missouri. People able to live more normal lives with ostomies. Wounds heal at a greater rate and earlier detection of problems. Decreased incontinence, better control, early detection in relation to underlying problem, comfort, improved skin care...improving quality of life. Business Development Recruitment Business growth Community involvement Board Member United Way of Randolph County Board Member American Diabetes Association Formed and Past President Moberly Area Chapter of American Diabetes Association Frequently featured in newspaper Frequent talk show guest on radio regarding diabetes and home health

3 Sam s Health Mart, Moberly, MO RN Consultant Diabetes screening/education/sales in an outpatient pharmacy setting. Wound, ostomy, continence care/sales in an outpatient pharmacy setting Mark Twain Retirement Center, Huntsville and Moberly, MO RN Consultant RN Consultant/Long term care facility Columbia Regional Home Health, Columbia, MO Home Health Nurse Certified Diabetes Educator/WOCN Provided Diabetes Education and Care Provided Wound, Ostomy, Continence Nursing care Business Development 1985 Randolph County Health Department, Moberly, MO Public Health Supervisor Supervised Public Health Nursing Staff Program Planning Business Development Moberly Regional Medical Center, Moberly, MO House Supervisor Head Nurse/plan/set up of 52 bed surgical unit Advisory board of building new hospital Nurse Recruiter CPR Instructor Trainer University of Missouri, Columbia, MO Nursing Student-Staff Nurse Provided nursing care to people in Surgery Intensive Care and Emergency Department St. Louis, MO Professional model and dancer

4 Related Scholarly Activities & Presentations in Diabetes, Weight Management, Low Carb Lifestyle 2001-National Presenter-Laugh It Off! LLC-Health Education/Entertainment or Edutainment Team with a professional comedian, providing healthy lifestyle programs for communities and health care professionals St. Louis Association for Diabetes Educators, Laugh it Off! St. Louis MO Illinois Dietitians Association Annual Conference, Laugh It Off! Keynote Speakers, Chicago Ill. The Fourth Partners in Diabetes Care Conference, Laugh It Off! Pueblo, CO Missouri Nurse Practitioners Annual Meeting, Undermoved! Oversized! Overweight! Controversies in the Management of Type 2 Diabetes from Youth to Adults Jefferson City, MO Physician Dinner-Diabetes Update-The Use of Basal Bolus Insulin, Columbia MO St. Louis Forum, A Women s Event- Laugh It Off! St. Louis, MO St. Louis American Diabetes Association/St. Louis Association of Diabetes Educators A Joint Community Event Community Event, Laugh It Off! August and November, Washington University, St. Louis, MO Palos Community Hospital, Laugh It Off! Traveling with Diabetes, Chicago Ill. International Women s Day, Laugh It Off! St. Louis, MO Mid Missouri Nurse Practitioners Association-Laugh It Off! The Whens, Whys and Hows Of Insulin Therapy, Columbia, MO Michigan Organization for Diabetes Educators-Laugh It Off! Marquette, MI St. Louis Association of Diabetes Educators/St. Louis Dietitians Association Annual Dinner-Laugh It Off! Creative Teaching Techniques in Diabetes and Weight Management, St. Louis, MO. St. Louis Association of Diabetes Educators/St. Louis Dietitians Association, Laugh It Off! Erectile Dysfunction and Sexual Dysfunctions, A Mulitdiscipliary Approach. St. Louis, MO. Kansas City Region of the American Association for Diabetes Educators annual dinner Laugh It Off! Humor to Motivate Behavioral Changes, Kansas City, MO American Association for Diabetes Educators Annual Meeting-Salt Lake City, UT Two presentations Insulin Therapy for Optimal Glycemic Control-A Corporate event Laugh It Off!-A Concurrent Session The Diabetes Center- Laugh It Off! Port Huron, MI DePaul Hospital Center Wellness Center-Laugh It Off! St. Louis, MO Missouri Biotechnological Association Symposia on Genetics and Disease-Diabetes Laugh It Off! St. Louis Science Center, St. Louis, MO Gerber Memorial Health Services, Women's Health Fair-Laugh It Off! Fremont, MI Kilo Diabetes &Vascular Research Foundation Conference-Dinner Presentation for Faculty. St. Louis, MO Missouri State Teachers Association-Laugh It Off!, St. Louis, MO American Diabetes Association Diabetes Expo- Laugh It Off! New York, New York Missouri Biotechnological Association Symposia ongenetics and Disease-Diabetes, Laugh It Off! Diabetes Management. Living With Diabetes Everday, St. Louis Science Center, St. Louis, MO with Dr. Charles Kilo MD, Professor of Medicine, Washington University School of Medicine and Chairman of the Kilo Diabetes and Vascular Research Foundation and Dr. Sam Klein MD, Professor of Medicine and Nutritional Science Director, Center for Human Nutrition, Washington University School of Medicine.

5 2004- Saint Louis Art Fair -WE CAN DO IT! Women Working for Healthier Families. Laugh It Off! Ready, Set, Cook! featuring Gourmet Chefs Gretchen Morfogen and Marc Felix Diabetes Camping Association Annual Meeting. Keynote Speakers- Laugh It Off! Having Fun with Diabetes Education. Camp Conrad/Chinnock, located in the Barton Flats area in Southern California Sierra Mountains University of Washington, Seattle Annual Diabetes Program, Laugh It Off! Having Fun with Diabetes Education Get Hooked on Health St. Louis Expo. Laugh It Off! Getting Healthy Can Be Fun! America's Center, St. Louis, MO. WE CAN DO IT! Women Working for Healthier Families. Laugh It Off! Ready, Set, Cook! Demonstration with Vince Bommarito Sr. and Vince Bommarito Jr. of famed Tony's Restaurant, St. Louis MO-To Be Aired on PBS Amylin-Lilly Alliance Dinner-Laugh It Off! The Westin Galleria, Dallas TX. Missouri State Teachers Association (MSTA) Annual Meeting, Laugh It Off! On DIABESITY, The New Epidemic. It's Not All About Food. And Laugh It Off!: Teachers Take Care of Yourselves! Tan Tara, MO Upcoming Events 2005 WE CAN DO IT! Women Working for Healthier Families. Laugh It Off! "Inside Out Loud" Visualizing Women's Health in Contemporary Art." A multi-media exhibition organized by the Mildred Lane Kemper Art Museum (formerly the Washington University Gallery of Art) and is the first significant survey of contemporary art to explore critical issues related to women's health. The art show will run from January 21-April 4, St. Louis, MO. Annual Diabetes Update for Health Care Professionals.Laugh It Off! Alternative Carbohydrate Diets: Which Diabetics, When and Why? Jefferson City, MO Wisconsin American Diabetes Association Diabetes Education Conference- Diabetes Education-A Capital Idea Laugh It Off! Madison, WI National Presenter The Ultimate Diabetes Course, Professional Educational Services, Inc. West Virginia, Washington, Oregon, New York, Colorado, Missouri, Michigan Putting It In Practice with Dr. Barry Sears PhD, Sears Laboratories Massachusetts, North Carolina, California 1999-Present-Lower Carbohydrate Diets in Diabetes Management-Hype or Help? Annual Meeting for American Association of Diabetes Educators, Orlando FLA 1999 ADA-Madison WI, 1999, ADA Birmingham AL 1999, St. Louis MO The GlucoWatch Biographer, Cygnus Inc., California, Texas, Illinois, Missouri, Kentucky, Colorado, Arizona, Tennessee, Minnesota, Kansas, New York, 2003 Polycystic Ovarian Syndome Association Annual Meeting Diabetes Prevention and Management- Atlanta, GA Kilo Diabetes &Vascular Research Foundation Conference-Lower Carbohydrate Meal Plans in Diabetes Management, St. Louis, ADA Expo-For Health Care Practitioners- Lower Carbohydrate Meal Plans in Diabetes Management, New York, NY

6 2004-Low Carb Summit-Moderator and Panelist. Denver, CO Low Carb Summit-Panelist for Childhood Obesity, Washington DC. Carbohydrate Awareness Council-Keep on Keeping On. How to Stay Motivated. Washington DC Missouri Teachers Association-My Student Has Diabetes: What do I Need to Know? What do I Need to Do? TanTara, MO dlife TV-To air March 20, 2005 CNBC Sister to Sister-Women s Heart Health Day Event-Emcee-St. Louis, MO Missouri Alliance for Home Care-Diabetes Management in Home Health Teleconference Upcoming Events 2005 Missouri Alliance for Home Care-This Little Piggy Went to Market- Foot care for the Home Care Patient-Teleconference Missouri Alliance for Home Care-Delivering Current Diabetes Management To the Home Health Patient. Osage Beach, MO American Wound Care Professional Association Annual Symposium- Diabetes And Foot Care-What You Need to Know and Teach To Keep Feet for a Lifetime.-Philadelphia, PA American Dietetic Association Food and Nutrition Conference & Expo (FNCE)- Successfully Managing Polycystic Ovarian Syndrome. The Ages, Stages, And Experiences of Women with Polycystic Ovarian Syndrom from a Personal and Professional Perspective-St. Louis, MO Contributor Present-Inspirational Messages for Columnist- Lower Carb Options Diabetes Health, formerly Diabetes Interview- Lower Carbohydrate Options 2005-Present Inside the Box-The Shoe Box Writer, Editorial Board Present-H. Crimson Publishing, Publishers of Walgreen s Diabetes & You 2004-Present-LowCarbLuxury.com Writer Laugh It Off! A book in progress Restaurant Reviewer, The Healthy Critic, Columbia Business Times, Columbia MO DiabetesWebsite.com on the subject of Lower Carbohydrate Diets in Diabetes Management 2004-Low Carb Living Magazine 2004-Present-LowCarbLuxury.com Featured Article February written about my research, presentation of Lower Carbohydrate Diets in Diabetes Management, Diabetes Interview Research Consultant Diabetes Dietary Study-Albert Einstein College of Medicine 2004-Coordinator of International Meeting of Experts and Scientists for Lower Carbohydrate Lower Glycemic Index-Load Diets in Diabetes Management

7 Personal Research 1998-present-Lower Carbohydrate Diets in Diabetes Management, traveling the country visiting with physicians/authors of these plans Polycystic Ovarian Syndrome Association 2003-Board of Director 2004-Advisory Board Member Lower Carbohydrate Action 2004-Low Carbohydrate Consumers League 2004-Carbohydrate Awareness Council-Medical/Scientific Advisory Board 2004-Lower Carbohydrate Manufacturers Alliance Member 2004-Low Carb Luxury Scientific Advisory Board Private Practice present-Diabetes education/weight management using a lower carb approach. Relationship with Dr. Atkins A personal and professional relationship with Dr. Atkins and his staff. His door was always open to me, spending days and hours with Dr. Atkins and his patients collaborating about diabetes management and the relationship of diabetes and obesity or Diabesity as he would call it. Education 1982 BSN: University of the State of New York, Albany NY 1979 RN: Jewish Hospital School of Nursing, St. Louis, MO 1971 Horton Watkins High School, St. Louis MO Related Education 1990 Diabetes Treatment and Research Center, Wichita, KS 1986 Robert B. Turnbull School of Enterostomal Therapy, Cleveland Clinic, Cleveland, OH University of Missouri, Columbia, MO Professional and Personal Affiliations American Diabetes Association, Professional Section American Association of Diabetes Educators Wound, Ostomy, Continence Nurses Society American Professional Wound Care Association American Nutraceuticals Association North American Association for the Study of Obesity Congress for New Urbanism Local Government Commission Organization Polycystic Ovarian Syndrome Association-Professional Member Professional Advisor, Polycystic Ovarian Syndrome Association Support Group, Columbia MO Central Missouri Humane Society WE CAN DO IT! Women Working for Healthier Families, A Women s Art and Health Organization Board Member

8 Professional Achievements Board Certification in Diabetes Education, American Association of Diabetes Educators 1990,1995,2000 Board Certification in Enterostomal Therapy Nursing, Wound Ostomy Continence Nursing Society, 1991,1996 Certified Health Care Professional, Zone Research Institute 2001-present 1990,1992,1999Who s Who in American Nursing Columnist for Extended Care Product News 1992 Consultant for 3M Company 1993 Special Service Award from Missouri Alliance for Home Care Frequent Speaker for several organizations regarding Diabetes,Weight Management, Childhood Obesity, Wound and Skin Care, Ostomies Documentation, Motivation Guest speaker for Moberly Area Community College Graduating Classes of 1993,1994 Formed and President of Central Missouri Chapter of American Association of Diabetes Educators Formed and Past President of Moberly Area Chapter of American Diabetes Association Presented at Annual Meeting of American Association of Diabetes Educators, Orlando, FL, 1999 Certified Insulin Pump Trainer, Medtronic MiniMed Inc., 1999-present; Disetronic 2000-present, Animas 2001-present Consultant, Cygnus, Inc., Certified Professional Trainer for The GlucoWatch Consultant, Eli Lilly &Co., Speaker s Bureau for Takeda Pharmaceuticals America, Inc., Speaker s Bureau for Pfizer Pharmaceuticals Inc present Professional Advisor, MidMissouri Neuropathy Support Group, Restaurant Reviewer, Healthy Critic for Columbia Business Times Editoral Contributing Writer for Low Carb Living Magazine 2004-present Editoral Advisory Board for dlife, a Multi-Media Diabetes Information System Consultant, ExtendBar 2004-present Member, Missouri Diabetes Advisory Board-2004-present

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