

Have the resident say “E” and auscultate to see if it becomes “A”.
RHONCHI LUNG SOUNDS UPPER OR LOWER SKIN
Appearance of Nail Beds, lips, mucous membranes, skin.Is it strong spontaneous nonproductive?.Is there use of accessory muscles prolonged expiration.Is Dyspnea present on exertion irregular pattern?.Is there underlying Pulmonary disease Emphysema, COPD, Lung CA, etc.?.Collect and document a detailed Pulmonary History.If COVID-19 disease is suspected as part of the screening process, a thorough respiratory assessment is essential, including careful auscultation to identify residents with a risk of significant lower respiratory illness. COVID-19 can cause Pneumonia and ARDS (Acute Respiratory Distress Syndrome), Severe Acute Respiratory Syndrome (SARS), Acute Respiratory Failure and several other conditions.

There are three types of abnormal bronchial breath sounds: tubular, cavernous, and amphoric. The risk of serious disease and death in COVID-19 cases increases with age. Sounds that emanate from another location may indicate a problem with the lungs.

The exact incubation time is not certain with estimates ranging from 1 to 14 days. Symptoms can include fever, cough, and shortness of breath. People with COVID-19 may have few to no symptoms, although some become severely ill and die. Significantly, residents of nursing homes are at high risk for more severe disease because of age and underlying medical disorders. Nursing facilities face higher risk of transmission due to high population density creating difficulty in maintaining avoidance precautions. Person-to-person spread occurs through contact with infected secretions, mainly via contact with large respiratory droplets, but can also occur via contact with a surface contaminated by respiratory droplets. COVID-19 is an acute, sometimes severe, respiratory illness caused by a novel coronavirus SARS-CoV2.
