The word "Como estas" in english means "How are you".
If a 53 year old patient is brought to the ER via an ambulance, where you are working as nurse. You will check his vitals and see what his symptoms are. If the patient has labored breathing and also has a fruity odor to his breath, and also has Type 1 diabetes this is a serious condition. The patient is most likely ketoacidosis. This can come on suddenly without warning and can be a life threatening condition. The body's cells are unable to get glucose during ketoacidosis.
Carrying out physical activity regularly keeps an individual healthy and fit, this Health and Fitness translates to a better state of mind and personal comfort which contributes to a persons wellness.