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Two Types of Breathing

1. Costal (thoracic)
• Involves the external muscles and other accessory muscles (sternoclodio mastoid)
• Observed by the movement of the chest up ward and down ward. Commonly used for adults

2. Diaphragmatic (abdominal)
• Involves the contraction and relaxation of the diaphragm, observed by the movement of abdomen. Commonly used for children.

Assessment
• The client should be at rest
• Assessed by watching the movement of the chest or abdomen.
• Rate, rhythm, depth and special characteristics of respiration are assessed

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