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Case Study 1: Care Summary Assignment 
Assignment Description 
As one of the primary goals of nursing is to provide patient-centered care, one of the best ways 
to learn about Canadian nursing practice by exploring unique human health stories. For this 
assignment, you will work through a case study and—using your knowledge of nursing 
process, nursing regulation, and relevant health concepts—you will create a nursing care 
summary. 

Your summary will include: 
1. A care plan describing the nursing care for the patient’s top three priority nursing 
diagnoses. 
2. A summary of a relevant BCCNM Standard of Practice that would guide nursing care in 
this case. 
3. A discussion of how a related concept would inform nursing care. 

You will work through the case study in three parts: 
Part A: Exploring the Case 
Meet the patient and learn about their health situation. 
Learn about/refresh your knowledge of pathophysiology, diagnostics, and 
treatments for the patient’s medical diagnoses. 
Learn about relevant BCCNM Standards of Practices. 
Learn about health concepts that apply to the case. 
Part B: Planning Nursing Care 
Interpret the assessment data and deduce appropriate nursing diagnoses 
Identify reasonable patient goals. 
Identify patient-centered and evidence-based nursing interventions 
Part C: Summarizing Nursing Care 
Based on your learning above, create a care summary. 

 

Case Study 1: PART A 
Meet Frida and Dominik

 

Freda Molinsky (age 67) lives at home with her husband, Dominik, in a house in Maple Ridge, 
BC. She and Dominik emigrated here in 1978 from Czechoslovakia. Until her retirement eight years 
ago, Frida worked as a receptionist for a local realty office. Dominik works as a professor of 
literature at SFU. 

Frida and Dominik have three grown sons who live in various provinces in Canada, and they now 
have five young grandchildren. Frida has always been an avid gardener and cook. She and 
Dominik enjoys traveling in their camper. They have traveled extensively throughout BC and 
Alaska. 

In 2018, Frida was diagnosed with dementia. At first, she only demonstrated mild cognitive 
impairment and, with support from Dominik, was able to continue with most of her normal 
activities. However, lately, she and Dominik have been struggling to cope. Frida now doesn’t remember 
many of her friends and family can no longer cook food safely. Dominik doesn’t take her 
out of their house very often as she gets easily anxious and frustrated. Lately, Frida has started 
falling frequently and has some episodes of urinary incontinence.

 

Dominik has hired a companion to be with Frida at work. However, this is becoming 
costly, and Frida’s behaviors are increasingly challenging to manage at home, even 
with this additional help. 

Three days ago, she fell and hit her head on the coffee table. Dominik took her to Ridge 
Meadows Hospital, where she was examined in the ER. Her laceration was sutured, and another no 
serious injuries were found. As part of her discharge, a home care nurse referral was made. 

You are working as a registered nurse at the Maple Ridge Public Health Unit, providing home 
care for seniors in your area. You have been assigned to assess Mrs. Freda Molinsky. 
Please see her referral form for more details. 

SCIENCE
HEALTH SCIENCE
NURSING
NURSING N3160

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