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 Latissimus Dorsi muscles (also known as the Lats) are the largest muscles of the back. Being large, fan-shaped muscles, they are able to provide force in a wide range of body positions, e.g. leaning back to straight vertical and all points in between.