A licensed vocational nurse's duties revolve around basic patient care. LVNs monitor their patients' vital signs and keep their charts up to date. They assist patients in basic hygiene and personal care, including bathing and dressing them and helping them eat if necessary.
Accessory muscles refers to muscles that assist, but do not play a primary role, in breathing. There is some controversy concerning which muscles may be considered accessory muscles of inhalation.
The accessory navicular (os navicularum or os tibiale externum) is an extra bone or piece of cartilage located on the inner side of the foot just above the arch. It is incorporated within the posterior tibial tendon, which attaches in this area. An accessory navicular is congenital (present at birth).