Soap note about patient with Prostate Cancer Follow the MRU Soap Note Rubric as a guide Use APA format and must include minimum of 2 Scholarly Citations. no more than 5 years. Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program) Turn it in Score must be less than 10% or will not be accepted for credit, must be your own work and in your own words. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement. The Assessment and Plan should be of your own work and individualized to your made up patient.
Answer
SOAP Note
Patient:
Age:
Gender:
Date of Visit:
Subjective:
The patient presents with a complaint of Prostate Cancer. He reports experiencing increased urinary frequency, hesitancy, urgency, and nocturia. The patient also mentions a decrease in urine flow and occasional blood in the urine. He describes occasional pain and discomfort in the lower abdomen and lower back. The patient has a strong family history of prostate cancer, with his father and uncle having been diagnosed at similar ages.
Objective:
Physical examination reveals an enlarged prostate on digital rectal examination (DRE). The prostate feels firm and irregular, with mild tenderness upon palpation. The patient denies any significant weight loss or recent changes in bowel habits. Neurologic examination reveals no focal deficits.
Assessment:
Based on the patient’s symptoms and physical examination findings, the diagnosis of Prostate Cancer is suspected. Further diagnostic evaluation is necessary to confirm the diagnosis.
Plan:
1. Referral to Urology: The patient will be referred to a urologist for further evaluation and management of Prostate Cancer. The urologist will perform additional tests, such as a prostate-specific antigen (PSA) blood test, prostate biopsy, and imaging studies (e.g., transrectal ultrasound).
2. Educational Resources: The patient will be provided with educational resources about Prostate Cancer, including information about risk factors, treatment options, and support groups. It is important to address any questions or concerns the patient may have regarding his diagnosis and prognosis.
3. Shared Decision-Making: The patient and urologist will engage in shared decision-making to determine the most appropriate treatment plan based on the patient’s preferences, disease stage, and overall health. Treatment options may include active surveillance, surgery, radiation therapy, hormone therapy, and chemotherapy.
4. Symptom Management: The patient will be advised on strategies to manage his urinary symptoms, such as frequent urination and hesitancy. These may include lifestyle modifications (e.g., avoiding caffeine and alcohol, bladder training exercises) and medication options (e.g., alpha-blockers, 5-alpha reductase inhibitors) to improve urinary flow and relieve discomfort.
5. Psychological Support: The patient will be offered psychological support, such as counseling or participation in support groups, to address any emotional distress or anxiety related to his diagnosis. Supportive care can play a vital role in helping patients cope with the challenges of Prostate Cancer and enhance their overall well-being.
6. Follow-Up: The patient will schedule regular follow-up appointments with the urologist to monitor disease progression, assess treatment response, and address any new or ongoing concerns. The frequency of follow-up visits will depend on the treatment plan and the patient’s individual needs.
References:
1. Society, American Cancer. “Prostate Cancer.” Cancer Facts & Figures 2021. Atlanta, GA: American Cancer Society, 2021.
2. National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology: Prostate Cancer. Version 2.2021.
