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My Strength

·         Includer

·         Responsibility

·         Analytical

·         Discipline

·         Deliberative

My selection of Team Members
Chelsea – Command

As commanding is not my biggest strength, I think our team will benefit from someone who has a high commanding strength as Chelsea. She can help to keep our team well organized and goal oriented. She should be able to communicate clear roles, responsibility, and expectation from each members in order to achieve goals in timely manner.

Carter – Communication

Communication is very important strength to be successful in any field or area of life. As I am not a strong communicator, I need a person with strong communication strength who can represents our team with his/her great communication skills. Having a good idea is not enough if you cannot communicate well.

Daisy – Developer

Daisy will be an asset to our team. With her strong Developer strength, she will help team members to grow, motivate, and ultimately help to build a successful and satisfied team.

Abraham – Arranger

Our team can benefit from a person with strong arranger strength like Abraham. He will help our team to be more organized and help allocations of resources in order to increase productivity.

Pablo – Positivity

Positivity is always important in any area of life. Pablo with his positivity can help boost the strengths of other team members in positive way. His presence is important to build enthusiastic, energetic, and optimistic team.

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I have taken care of many patients who were admitted with heart attack due to clogged stents. Educating important of taking medications to prevent restenosis of stent is very important aspect of nursing care. However even with the medications such as an aspirin and Plavix to prevent restenosis or thrombosis of implanted vascular stents, many patients develop these complications. Therefore, this new technology to early detect in-stent restenosis and occlusion can be significant innovation in cardiac health.

I strongly believe that this innovation can greatly impact the future practice and care of cardiovascular health. If this innovation successfully provides what it promised for, it will greatly decrease the mortality related to cardiovascular disease. Adequate robust research studies is essential in order to support validity, reliability, and actual benefit of this technology. Technological issues that can occur with smart devices should be analyzed appropriately and adequately. I think consequences from technology failure can lead to unnecessary diagnostic studies, unnecessary treatment, and can add extra stress to patients. Therefore, adequate measures to assure accuracy of device should be implemented before application.

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Ø  Has not been tested in human

Ø  Possibility of signal failure

Ø  Cost of intervention

Ø  May lead to unnecessary treatment or interventions

Ø  Practicality of long-term monitoring

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Ø  Rapid detection of in-stent restenosis or occlusion

Ø  Noninvasive

Ø  Easy accessible

Ø  Compatibility with PCI

Ø  Allows continuous monitor of hemodynamic changes

Ø  Successfully tested in swine model

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According to authors Chen, Assadsangabi, Hsiang, and Takahata (2018) 50% of the patients who received cardiac stent may develop in-stent restenosis, one of the major complications of stent that occurs due to the inflammation within the artery where stent was placed. Stents currently being used are medications coated stents that release medications slowly to prevent restenosis provide benefit for first few years. However the risk of thrombosis increases over the time that may pose patient higher risk for heart attacks. Current methods of identifying in-stent restenosis in arteries include duplex ultrasound and angiography, only performed when patients become symptomatic (Chen, Assadsangabi, Hsiang, & Takahata, 2018).

Smart stents are developed integrating micro-electromechanical system (MEMS), microelectronics, and antenna that has ability to sense and communicate. This technology is designed to allow continuous remote monitoring of stents and get alert for need for further diagnosis or intervention. Local hemodynamic changes can be detected upon restenosis or thrombosis via a radiofrequency wireless pressure transducer, and sensed signals can be transmitted wirelessly in real time. After considering both engineering and clinical aspects, authors of this article developed a stainless-steel stent that is compatible with standard percutaneous coronary intervention (PCI) (Chen et al., 2018).

Link : https://onlinelibrary.wiley.com/doi/abs/10.1002/advs.201700560

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Chen, X., Assadsangabi, B., Hsiang, Y., & Takahata, K. (2018). Enabling angioplasty‐ready “smart” stents to detect in‐stent restenosis and occlusion. Advanced Science, 5(5). doi. 10.1002/advs.201700560.

Date Published
February 16, 2018