Treatment advances have resulted in improved prognosis for patients with cancer metastatic to bone. The management of appendicular skeletal metastases requires a multi-disciplinary approach.reast. Bone is the first site of metastasis in 26% of breast cancer patients. It is the most common site of metastatic disease, both at presentation and as the site of first recurrence. 7 Up to 85% of breast cancer patients develop skeletal metastases at some stage in the disease process.
As has been stated, PRN is an abbreviation for pro re nata, which is Latin for as the situation demands.. It is interpreted by medical personnel to mean as needed.. Technically, a PRN order should specify the indication, although doctors often don't specify (and in the case of certain medications, never specify). This can sometimes lead to confusion.
Medical Record Number. A unique patient identifier, as required by HIPAA, which is provided by a healthcare provider or healthcare system. Patients do not have a universal MRN as they are provided separately by different healthcare systems. An MRN will not change throughout all of the care received within a health system - unlike an account (called a HAR in Epic) or visit number (called a CSN in Epic). Hospitals typically use MRN, in conjunction with SSN, as unique patient identifiers.