ISS 2017 Program


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PO1.8: Using Friction Management to Prevent and Treat Pressure Injuries

Evidence suggests that friction causes shear stresses in the tissue of wheelchair and extended bed users which leads to increased risk of skin trauma at the surface and in deep tissues. This author employed new strategic friction reduction technology products in addition to normal wound care protocols with three wound patients resulting in accelerated wound closure in all three cases. Reducing friction forces in high risk areas accelerates treatment and holds the promise of prevention.

This session is supported by a company with reported interest in the sale of Assistive Technology products. The content has been reviewed by ISS personnel and determined to be appropriate for continuing education purposes.


Learning Objectives:

Upon completion of this session, attendees will be able to;



Mark J Payette, CO, ATP
Tamarack Habilitation Technologies, Inc.
Blaine, Minnesota
United States

Mark is a certified Orthotist and ATP with 24 years of direct patient care experience providing custom orthotic seating services for children at Gillette Children's Hospital, and then in private practice for children and adults, with Tamarack Habilitation Technologies, Inc. Following that, he has been working in product development for 13 years at Tamarack, focusing on developing friction management and custom wheelchair seat surface technologies. His experience includes presenting lectures and workshops at the local, national and international levels.

Sheila Howes-Trammel, MSN, APRN, FNP-BC, CWCN, CCCN, CFCN, CLNC
Hennepin County Medical Center
Minneapolis, Minnesota
United States

Sheila is a Family Nurse Practitioner at Hennepin County Medical Center with a full-time practice covering Long-term Care facilities in Hennepin County. Sheila has 25 years experience in the nursing specialty of wound, ostomy, continence and foot/nail care and is a Faculty Member for the WebWOC nurse education program through MetroState University.



    1. Thies Berke, C. (2015). Pathology and Clinical Presentation of Friction Injuries. Case Series and Literature Review. J Wound Ostomy Continence Nurs. 42(1):47-61.
    2. Linder-Ganz, E., Gefen, A. (2007). The effects of pressure and shear on capillary closure in the microstructure of skeletal muscles. Ann Biomed Eng. 35(12):2095-107
    3. International review (2010). Pressure ulcer prevention: pressure, shear, friction and microclimate in context. A consensus document. London: Wounds International.

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