“VSIM Case Study: Marvin Hayes – Comprehensive SOAP Note and
Treatment Plan for Rectal Cancer
,
, VSIM Feedback Log: Marvin Hayes
Diagnosis: Rectal Cancer
Student Name: [Your Name]
Date: [Insert Date]
Instructor: [Insert Instructor’s Name]
Course: [Insert Course Title]
1. Patient Overview
Name: Marvin Hayes
Age: 62 years
Gender: Male
Primary Diagnosis: Rectal Cancer (Adenocarcinoma)
Admitting Complaint: Rectal bleeding, changes in bowel habits, and
unintentional weight loss.
Background:
Mr. Hayes was admitted for evaluation of rectal bleeding and altered
bowel habits, including narrow stools and constipation alternating with
diarrhea. He reports fatigue and a 10-pound unintentional weight loss
over the last month. A colonoscopy revealed a rectal mass, and a biopsy
confirmed adenocarcinoma of the rectum. He is scheduled for surgery
and possible chemotherapy.
2. Objective Data
Vital Signs:
• BP: 128/78 mmHg
• HR: 88 bpm
Treatment Plan for Rectal Cancer
,
, VSIM Feedback Log: Marvin Hayes
Diagnosis: Rectal Cancer
Student Name: [Your Name]
Date: [Insert Date]
Instructor: [Insert Instructor’s Name]
Course: [Insert Course Title]
1. Patient Overview
Name: Marvin Hayes
Age: 62 years
Gender: Male
Primary Diagnosis: Rectal Cancer (Adenocarcinoma)
Admitting Complaint: Rectal bleeding, changes in bowel habits, and
unintentional weight loss.
Background:
Mr. Hayes was admitted for evaluation of rectal bleeding and altered
bowel habits, including narrow stools and constipation alternating with
diarrhea. He reports fatigue and a 10-pound unintentional weight loss
over the last month. A colonoscopy revealed a rectal mass, and a biopsy
confirmed adenocarcinoma of the rectum. He is scheduled for surgery
and possible chemotherapy.
2. Objective Data
Vital Signs:
• BP: 128/78 mmHg
• HR: 88 bpm
