ISS 2017 Program


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PO1.9: IAD: Can Reducing Friction and Shear Heal and Prevent Recurrence?

Incontinence Associated Dermatitis (IAD) can be a difficult problem to resolve and is prone to recurrence due to the subjecting of fragile skin to numerous risk factors including ongoing friction and shear. The author tries a new patented interface technology product that significantly reduces shear and friction in addition to using the normal wound care protocols. The findings were quicker resolution of the IAD and preventing recurrence.
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;



Caroline Portoghese, OTR/L, ATP/SMS, MSCS, LNHA, MBA
University of Minnesota Medical Center
Saint Paul, Minnesota
United States

Caroline is an occupational therapist and nursing home administrator. She has worked in healthcare since 1995. She has focused on seating and wheeled mobility since 1998. She provided services as a custom Seating Practitioner at Fairview Tamarack Clinic until 2004, and then through 2016 worked in outpatient specialty clinics, and post-acute care, all through Fairview Rehabilitation Services at the University of Minnesota Medical Center. She re-joined Tamarack in 2017. Her 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.

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.




    1. Wound Ostomy Continence Society (2011). Incontinence associated Dermatitis(IAD). Best Practice for Clinicians Mt Laurel, NJ WOCN.
    2. Doughty, D., McNichol, L. (Eds.). (2016). WOCN Core Curriculum: Wound Management. Philadelphia, PA. Wolters Kluwer. 'Top-Down' Injuries: Prevention of Management of Moisture-Associated Skin Damage
      (MASD), Medical AdhesiveRelated Skin Injury (MARSI) and Skin Tears. 281-312.
    3. International review. (2010). Pressure ulcer prevention: pressure, shear, friction and microclimate in context. A consensus document. London: Wounds International.

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