Abstract：
Geriatric emergency management (GEM) nursing has emerged as a critical response to the increasing number of emergency department (ED) visits by older people, particularly in North America and specifically in Canada. This demographic often presents with complex medical conditions and atypical disease manifestations. The GEM programme, implemented in Ontario, Canada, aims to provide targeted assessment and establish community connections for frail older individuals, helping prevent their decline and loss of independence. There is a significant demand for specialised wound care services in EDs and frontline ED staff have a limited capacity to provide these. Advanced wound management was integrated into the GEM nursing scope of practice in an initiative. Patients who received wound care from GEM nurses and clinical nurse specialists had positive outcomes; those treated by GEM nurses had shorter wait times. Although the wound care role requires additional training and adds to the GEM nurse workload, the advantages appear substantial. Merging geriatric-focused care with specialist wound management may significantly benefit the care and satisfaction of older people attending the ED, as well as improve patient flow in the ED. This initiative requires further consideration by healthcare leaders and policymakers.
摘要：
老年急诊管理（GEM）护理已成为对老年人越来越多的急诊科（ED）就诊的关键反应，特别是在北美，特别是在加拿大。这种人口统计学通常表现为复杂的医学状况和非典型疾病表现。GEM方案，在安大略省实施，加拿大,旨在为虚弱的老年人提供有针对性的评估并建立社区联系，帮助防止他们的衰落和失去独立性。ED对专业伤口护理服务的需求很大，一线ED员工提供这些服务的能力有限。先进的伤口管理已主动纳入GEM护理实践范围。从GEM护士和临床护士专家那里接受伤口护理的患者具有积极的结果；由GEM护士治疗的患者等待时间较短。虽然伤口护理角色需要额外的培训，并增加了GEM护士的工作量，优势似乎很大。将以老年病为中心的护理与专门的伤口管理相结合，可能会大大有利于参加ED的老年人的护理和满意度。以及改善ED中的患者流量。这一举措需要医疗保健领导者和政策制定者进一步考虑。
