Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 22ndInternational Conference on Primary Healthcare and Nursing Amsterdam, Netherlands.

Day 3 :

Keynote Forum

Hoda M Nafee

Mansoura University, Mansoura, Egypt

Keynote: Pros and Cons of Internet Usage between Saudi and Egyptian Teenagers In Relation To Internet Addiction

Time : 12:35-13:00

Conference Series Nursing Health 2018 International Conference Keynote Speaker Hoda M Nafee photo
Biography:

Hoda Nafee is an Assistant Professor of Pediatric Nursing at University of Imam Abdulrahman Bin Faisal at Kingdom of Saudi Arabia (KSA) and lecturer in Mansoura University at Arab Republic of Egypt .she teaches under and postgraduates programs in both countries and prefer working in clinical filed with patient in addition to her works as a teacher across multiple tracks in different nursing specialties. She holds Master and Ph.D. in pediatric nursing especially in neonatal nursing and works as a trainer in the Egyptian Ministry of Health in partnership with the World Health Organization in an integrated management of childhood illness program. She works as a Member in a Board of directors of Nour AL-Hoda charitable Society, Ministry of Social Solidarity, Egypt.

 honafee68@hotmail.com

Abstract:

Pros and Cons of Internet Usage between Saudi and Egyptian Teenagers In Relation To Internet Addiction

Nowadays, the internet is becoming an integral part of the daily life of the teenagers who are the most users of internet at home or school on a large scale and those groups were participating nearly 20% from total population in KSA and ARE. The risk of developing misuse and widespread internet accessibility that facilitates their using of favorite applications whenever and wherever they want which increase the negative consequences neither in their psychiatric state as internet addiction or psychosomatic as musculoskeletal discomfort. Many studies asserted that the users of the internet should be aware of its positive and negative effects on their physical and psychosocial status. So this study aims to identify teenagers’ opinions about the pros and cons of Internet Usage in relation to internet addiction. A convenient sample of 668 teenagers who were recruited from intermediate and secondary school from both countries 331 teenagers from king Saudi Arabia (KSA) and 337 from Arab Republic of Egypt y(ARE) was selected using a descriptive correlation design. Two tools were used for data collection: the first one was a questionnaire sheet including participant’s Students’ socio-demographic data and their opinions about pros and cons of internet usage; the second was internet addiction test (IAT) by Young (1998).

 Results: Regarding teenager opinions of internet pros, both Saudi and Egyptian the highest percentage was to improve general knowledge, it was 32% and 48.7% respectively, the second was the developing sports activity it was 13.6% for Saudi and 31.4% for Egyptian. While the high Teenager's opinion of internet cons went to the moral corruption it was 34.4% for Saudi and 59.1% for Egyptian. About internet addiction, near half of Saudi and Egyptian students had mild and moderate internet addiction (47.7%, 45.3%, and 44.2%, 46.3%) respectively. While severe IA was (0.9%) in Saudi one compared to (0.3%) in Egyptian teenagers. Statistically, no significant relation was found between both groups in relation to internet addiction level where p=0.296. A statistically significant relation was found between both groups in relation their opinions about pros and cons of Internet Usage where P = <0.001, while no statistically significant relationships were found in both Saudi and Egyptian teenagers’ opinions about pros and cons of internet usage in relation to the level of internet addiction except in cons of the internet in the Saudi group (P =0.017). This study concluded that instead of the high level of teenagers awareness in both groups about the cons of internet usage compared to the pros but nearly they were equal in levels of internet addiction. The researchers recommended that further studies be conducted in this field on larger sample size for both genders to identify the other factors related to internet addiction among teenagers.

  • Developmental Behavioral Disorders | Child Adolescent Obesity | Clinical Nursing | Primary Health Care | Oncology Nursing | Critical Care Ethics
Location: Plaza 2
Speaker

Chair

Tatiana Estapé

FEFOC Foundation, Spain

Speaker

Co-Chair

Lily Yarney

University of Ghana Business School, Ghana

Session Introduction

Amir A Sepehri

CAPIS Biomedical R&D Department, Belgium

Title: Heart sounds aucultation, past, present and future
Speaker
Biography:

Abstract:

Farah Hillou

Midwestern State University, UAE

Title: The role of gut microbiota in childhood obesity

Time : 12:40-13:05

Speaker
Biography:

Farah Hillou is a Registered Dietitian from the College of Dietitians of Ontario, Canada, as well as with the Commission of Dietetic Registration, USA. She has
earned her Undergraduate Degree in nutrition from the University of Nottingham, UK, and her Postgraduate Degrees in Dietetics and Community Nutrition from
McGill University, Canada. She has been involved in Academia Instructing Nutrition and dietetics students in a variety of clinical and public health nutrition
courses, in addition to supervising internship students and participating in several research projects related to obesity and children’s health. She has also worked
in-corporate health and wellness, where she continues to provide Nutrition Consultancy to several entities including companies and media. She serves as a
Member in the Nutrition Task Force, Abu Dhabi Department of Health. Her strong interest is in integrating genetic, environmental and lifestyle factors in addressing
physiological imbalances and root causes of chronic disease have led her to seek Certification as an Integrative and Functional Nutrition Practitioner (USA). Her
focus lies particularly on gut health, and health conditions linked with the gut microbiome including obesity, autoimmune conditions, and chronic disease.
farah.hillou@zu.ac.ae

Abstract:

Childhood obesity has reached epidemic proportions worldwide. The causes of obesity are multifactorial and are influenced
by the interplay of genetic, behavioral and environmental factors. Recent evidence suggests that gut microbiota is involved in
energy homeostasis and inflammation, which may play a crucial role in the pathophysiology of obesity. The human gut harbors
a diverse collection of microbes involved in metabolic, physiological, nutritional and immunological processes throughout the
body. The dynamic composition of the human gut microbiota is determined by multiple factors such as mode of delivery, diet,
environment, infections, and exposure to antibiotics. Dysbiosis, an imbalance in gut microbiota, has been linked to various
diseases in infancy and later life including asthma, obesity, diabetes, gastrointestinal disease, and autism spectrum disorders.
Currently, various techniques such as dietary manipulation with pre-and probiotics are under investigation and appear to hold
the promise in the prevention and management of obesity via alterations in gut microbiota composition.

Brankica Vasiljevic

NMC Hospital Dubai, UAE

Title: Preterm infants & complications of prematurity

Time : 14:05-14:30

Speaker
Biography:

Abstract:

Speaker
Biography:

Biography

 

Lily Yarney is a Senior Lecturer in the Department of Public Administration and Health Services Management at the University of Ghana Business School, with a specialty in Social Science and Public Health. Before joining academia in 2013, Lily had worked with three international non-governmental organizations as the focal person for HIV/AIDS programming and research. She has published quite a number of research articles in recognized peer-reviewed journals and continues to conduct research in public health and health services management

 

Abstract:

 

Balancing Academia with Clinical Proficiency in the Training of Nurses at University Degree Level: The Case of Ghana

Countries worldwide are encouraging the transition of nursing education from hospital-based training in colleges to a University degree level. At the University level, the preparation of student nurses involves an acquisition of theoretical knowledge and clinical practice, which is well done can serve as a double-edged sword for blending theory and practice. We explored the ability, role and experiences of nurse academics in balancing theory and practice in training nurses. Using an exploratory research with methodical triangulation design, data were collected from nursing lecturers and student nurses using individual interviews with questionnaires and focus group discussions with FGD guide. Findings show that clinical practice is recognized by both lecturers and students as an important measure for enhancing theoretical preparation of nursing students to make them fully qualified and proficient in the delivery of nursing care. The majority of nursing lecturers had short duration of clinical exposure of two to three years before joining academia. Although nursing lecturers recognize the importance of clinical proficiency in training nurses at the degree level, the university academic calendar does not favor the inclusion of clinical practice in their academic programs, making balancing academic work with clinical practice difficult. Some findings were congruent with other studies elsewhere while dissimilarities were also established among Ghanaian nurse educators on their unwillingness to endeavor to blend theory with practice. Although nurse educators in academia are obligated to blend theory and practice in training nurses, challenges are encountered that militate against the attainment of this objective. University curricula for nursing education should be designed to place priority on clinical practice. Ghanaian universities must therefore give autonomy to the schools of nursing in designing the academic calendar. The Nursing and Midwifery Council of Ghana should put monitoring mechanisms in place to ensure clinical practice competencies of university nursing lecturers.

Biography:

Biography
Sheikh is Diplomat American Board of Allergy & Immunology and a Fellow of the American Academy of Allergy, Asthma & Immunology. He is currently working as
Consultant & Program Director, Adult Allergy & Immunology, Department of Medicine at King Faisal Specialist Hospital & Research Centre, Riyadh, KSA. He has
established the first Adult Allergy & Immunology fellowship program in the KSA. He is also trying to establish the first Primary Immune Deficiency diseases Centre
in Pakistan. Sheikh has chaired and presented in many international symposia sessions. Dr. Sheikh regularly publishes in international peer-reviewed journals.
fsheikh96@kfshrc.edu.sa

Abstract:

Pakistan has one of the largest populations in the whole world. It also has one of the highest Consanguinity rates in the world.
Primary immunodeficiencies (PIDs) are a relatively common occurrence where consanguineous marriages are widespread.
The aim of the current study was to interview a broad range of physician in Pakistan to assess their knowledge base regarding
the diagnosis of primary immune deficiency. This was a cross-sectional study. Random physicians were approached by
different medical colleges and the attached hospitals in Pakistan. Physicians were asked to fill out a questionnaire regarding
PIDs awareness. The 10 warning signs of primary immune deficiency are well-known and well cited and were included in the
questionnaire. Other questions were also asked regarding the Family History of PIDs, etc. A total of 141 Health Care providers
took part in the survey. About 55% of the participants had not seen any patients with PIDs. 86% were not aware of the 10
warning signs of PIDs and 97% were not familiar with what kind of questions to ask for a PID family history. About 50% did
not offer any treatments to their patients with PIDs. 61% thought that PIDs patients are always seriously ill. 84% thought that
patients with PIDs should not receive any live vaccines. Lastly, 55% of those interviewed did not know where to refer a patient
with PIDs. There is a great need for healthcare education regarding PIDs in Pakistan which has one of the largest proportions
of this disease globally.

Speaker
Biography:

Biography

Estape T completed her degree in Psychology in 1988, at the Autonomous University of Barcelona.  In 1988, she attended the first APT (Adjuvant Psychological Therapy) for cancer patients in the Royal Marsden Hospital, directed by Dr. Maggie Watson, chief of Psychological Medicine Department. She worked as a Clinical Observer from September-October 1988 in the Royal Marsden Hospital. She is Postgrad in Statistical Methods in Health Sciences, in 1989, Autonomous University of Barcelona. She is specialized in Clinical Psychology in 1991, in the Psychiatry Department, Clinic Hospital, Barcelona University. From 1992 to 1999 granted in the Oncology Department of the Hospital Clinic. She is the psycho-oncology director in FEFOC Foundation, Barcelona, Spain, from 1992 to present. She is an associate professor in the Open University of Catalonia. Manresa University and co-director of the Barcelona University Master on Psychooncology

 

 

testape@fefoc.org

Abstract:

Abstract

World population is experiencing an aging process. Life expectancy has increased dramatically in recent years. This means challenging social, economic and health. Cancer is much more common in the elderly. The rapid decline in mortality from circulatory problems (2335 per 100,000) causes tumors either the second leading cause of death (2261 per 100,000) and close to the first. The figures that we have about the attitude of this group talk us about more pessimism and less information about cancer, while less knowledge and a passive coping. The fatalism and paternalistic model makes it a group harder to get messages about health issues and monitoring on the attitude of early detection and/or prevention is not considered. We see that a person is 65-70 years ahead enough in how to talk about cancer prevention and valuable to analyze effective strategies for early diagnosis. Given these assumptions we consider the growing problem of elderly is not only quantitative but also qualitative characteristics for meeting the humanitarian big social problem in general and especially when referring to the rising incidence of cancer within this group, their lack of information towards prevention and early diagnosis and poor prognosis observed among the oldest. We interviewed 814 old people, using a semi-structured questionnaire created by us for this purpose. Our work focuses knowledge and attitudes to cancer in the elderly in five main areas cancer related: misbelieves and attitudes, prevention and early detection, treatment, research and psychological needs. Our preliminary results points at low knowledge, especially low awareness as a sample more prone to get cancer (only 28% is aware of this), 5% still believe in a punishment causation, only 6% knows the European code against cancer but some statements of this code are well-known (for instance 94% smoking); 84% points at mammography as a tool to early detection but only 44% to PSA; 37% reported that they preferred not to receive treatment if they had cancer because they felt it was not worth for them and 70% would prefer to be fully informed of their diagnosis and prognosis. This is a summary of the work that is presented. The conclusions are that old people, have lack of information and passive attitude towards chances of prevention and have a resignation towards cancer. However, the most streaking figure is the low percentage that feels as a risk population. Much of them think that cancer is not very likely at their age. Further research is done now in two lines: Comparing with other countries to ascertain how cultural aspects may be a bias on these results before attributing them completely to age; A clinical trial to find out which is the best tool to improve these results.

 

Suhair Othman

Red Sea University, Sudan

Title: Title to be updated
Biography:

Abstract:

  • Current Advances in Nutrition Food Research | Nutrition, Health & Aging | Pediatric Cardiology & Pulmonology | Child Developmental Behavioral Disorders
Location: Plaza 2
Speaker

Chair

Amir A Sepehri

CAPIS Biomedical R&D Department, Belgium

Session Introduction

Hajara Bashari

Nigeria Airforce, Nigeria

Title: Role of the military nurse in disaster management: Insurgency

Time : 15:00-15:25

Speaker
Biography:

Biography

Hajara Bashari began her career as a non-commissioned officer in 1986. She rose to become the first Hausa Muslim woman from a core Northern state to reach the rank of Wing Commander, equivalent to Lieutenant Colonel in the Army.

hajabash@yahoo.com

Abstract:

Abstract

Disaster is adverse condition that can lead to loss of lives and properties. Management is the organization of resources and responsibilities for dealing with all humanitarian aspect of emergencies. In short are the preparedness, response and recovery to lessen the impact of disaster. Natural disasters are disasters that occur naturally for example; heavy rains, fire out breaks, earthquake, land/snow slides, floods and famine. Manmade disasters are disasters caused by man such as accidents, air crashes, nuclear installations, nuclear reactions, careless handling of chemicals and weapons, conventional military warfare and road traffic accidents. Other disasters are also caused by civil wars, communal conflicts, terrorist attacks by group armed men/ campaign. Types of terrorist attack are hostage taking, sporadic firing, Hijacking, Suicide bombing, Assassination. Roles of the military nurse includes: the nurse must be well trained professionally and militarily to enable her/he to assume the following roles especially when dealing with the terrorist group or the insurgents, she must act as a medical personnel by treating all the wounded or the sick taken as hostages, act as an intelligent personnel by ensuring she/he is alert and observe what is going on around her/he with caution, act as a mediator between the authorities and the terrorists. She/he must be neutral to enable her/him succeed in releasing the hostages or transferring the injured or sick to the hospital, must be able to communicate with the authorities without giving any positive sign to the terrorists, the nurse must be able to identify the terrorists with any sign or mark on the terrorist, the nurse must be able to identify the types of weapons used by these armed groups such as rifles, pistons or any other harmful weapons. Methods of evacuating the casualties are: all trained disaster nurses must be able to evacuate the casualties from the scene of the attack or disaster for onward movement to the hospital via the ambulance or aircraft.

Biography:

Biography
Sonal Gore has completed her MBBS and is currently pursuing her Post-Graduation in Pediatrics from Jawaharlal Nehru Medical College. She is also the
in-charge of a Sickle Cell Clinic at the hospital and has been actively participating in several campaigns to raise awareness about Sickle cell disease in the
rural regions of Maharashtra, India.
sonal.gore2692@gmail.com

Abstract:

Background: Pulmonary hypertension is a potentially life-threatening complication, detected by echocardiographic evidence
of elevated tricuspid regurgitate velocity (TRV). This condition has been described in adults with Sickle Cell Disease (SCD)
and other hemolytic disorders; however, there is little information on the occurrence of this condition in pediatric patients.
Method: Echocardiograms were performed in SCD patients under steady-state conditions. Pulmonary artery hypertension
(PAH) was taken as pulmonary artery systolic pressure of >30 mm Hg corresponding to a peak tricuspid regurgitates jet velocity
of >2.5 m/second. For each SCD patient, all relevant past history of hospitalization, crisis, blood transfusion history and
medication history were recorded. The SPSS 17.0 windows were used for all statistical analyses. The descriptive variables
were presented in percentages, averages, means and standard deviations. Various clinical and echocardiographic factors were
compared between sickle cell anemia/sickle cell disease patients with or without pulmonary hypertension. The Z score was
calculated. A p-value less than 0.05 was considered significant.
Result: Of 38 patients of SCD, 10.52% (4 of 38) had elevated tricuspid regurgitate jet velocity>2.5 m/second. A low hemoglobin,
high reticulocyte count and high platelet were significantly associated with high pulmonary artery pressures.
Conclusion: High pulmonary artery pressures do occur in children with sickle cell disease. Screening by echocardiography can
lead to early detection and intervention that may potentially reverse the disease process.

Biography:

Biography
Jatin R Joshi has completed his Medical Training at University College, London followed by General Surgical and Plastic Surgical Training at renowned
centers in London and Oxford. He is the Founder of Instavit Ltd, a leading Spray Supplement Manufacturer. He has published several papers and written
textbooks on General and Plastic Surgery as well as Nutritional Supplementation.
drjatinjoshi@gmail.com

Abstract:

Introduction: Sleep disorders affect over 70 million people in the USA representing 20% of the population. The problem has
been deemed a public health epidemic by the Center for Disease Control and Prevention (CDC) contributing to a host of
medical conditions including cancer, obesity, diabetes, depression, and hypertension.
Objective: To review the effectiveness and safety of low dose (0.8 mg) fine mist sublingual Melatonin for the treatment of
occasional sleeplessness.
Method: 50 subjects were selected for a single center, prospective; double-blind randomized controlled trial assessing the safety
and efficacy of low dose, fine mist sublingual melatonin spray versus placebo. Subjects were randomly allocated to one of two
arms and sleep quality was assessed over a 28-day period using sleep logs, sleep diaries and the Insomnia Severity Index.
Result: All 50 participants completed the trial and varying degrees of sleeplessness was noted at baseline. Low dose fine mist
sublingual Melatonin spray had a significant effect on the time taken to fall asleep within 30 minutes; 92% low dose, fine mist
melatonin, 23% placebo (p<0.001); sleep duration of more than 7 hours; 96% low dose, fine mist melatonin, 32% placebo
(p<0.001) and good/excellent sleep quality; 92% low dose, fine mist melatonin, 24% placebo (p<0.001). No adverse effects were
noted.
Conclusion: The results show that low dose, fine mist sublingual melatonin spray is very effective in the treatment of occasional
sleeplessness and results in less time taken to fall asleep, increased sleep duration and sleep quality versus placebo.

Louise Ann Kenney

El Centro Regional Medical Center (ECRMC), USA

Title: Primary care nursing: Chronic care coordination

Time : 16:15-16:40

Speaker
Biography:

Biography

Louise Kenney RN, BSN, MSM currently the Chief Clinical Officer at El Centro Regional Medical Center in El Centro California. She has been a registered nurse for over forty years.   Ms. Kenney has community-based served in many leadership and consulting roles for academic government and for profit and not for profit hospital settings.

louise.kenney@ecrmc.org

 

Abstract:

Abstract

 

Statement of the Problem: Care coordination in the primary care practice involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. Although the need for care coordination is clear, there are obstacles within the American health care system that must be overcome to provide this type of care. El Centro Regional Medical Center (ECRMC) is located in El Centro, California and stands as the principal city of the County of Imperial. ECRMC patients face many healthcare disparities, including our rural geographic location, an ethnic community makeup, low socio-economic status and literacy rates, limited access to public transportation and high levels of air pollution. Access to care has long proven to be a major challenge for the community and its citizens. In 2012-13, there was one primary-care physician for every 4,170 Imperial County residents, compared to one for every 1,341 residents statewide. The Imperial Valley’s geographic location and high summer temperatures (120 °F) make it difficult to recruit and retain qualified providers for both primary and specialty care.

 

Method: The overarching goal is to improve access to care for our patients by providing culturally competent, evidence-based and person-centered care. We are moving towards a population health management model across the continuum of care. Three initiatives were deployed: (1) Ambulatory Care Redesign: Primary care, obesity prevention & healthier; (2) Foods initiative; (3) Resource Stewardship: High-cost imaging. Metrics were established to determine effectiveness of interventions and coordinating care.

 

Findings: The initial findings are short of meeting the targets. It was found providers were not consistently utilizing standardized criteria in treating low back pain to manage resource stewardship. Physician documentation was missing from the patient progress notes because the service was not rendered or the documentation is not inputted as structured data, so it is not being picked up by coding or our mapped reports. Due to a lack of interconnectivity between the current EMR systems throughout the hospital, this initially posed a challenge for applying a standardized algorithm to capture the target population nearly impossible.

 

Conclusion & Recommendation: It was vital to enhance patient engagement and various types of touches (outreach and in-reach), to include new campaigns and non-traditional services (such as telemedicine and phone visits). Also equally as important was to collaborate on improving coordination of strategies with the hospital internal resources such as quality, risk staff and enhancing the external partnerships to improve performance and patient care. External partners included insurance providers, disease support groups and the hospital resources to ensure mutual attainment of goals. Created standardized templates such as for the tobacco cessation and screening, BMI-Nutrition counseling for primary care to ensure consistency and easy to document structure. In addition establish the screening criteria to assist providers to utilize the “Red Flags,” criteria in prompting ED physicians to document the reasoning for ordering an imaging study for uncomplicated low back pain. Lastly, induce accountability by including the PRIME/HEDIS metrics to the physicians OPPE, it will provide a sense of accountability to provide quality care.

 

Saadia Mohammed

Palm Beach Pediatric Dentistry, USA

Title: Is tongue tie the root cause of chronic childhood disease?

Time : 16:40-17:00

Biography:

Abstract:

  • Special Session
Location: Plaza 2

Session Introduction

Brankica Vasiljevic

NMC Hospital, UAE

Title: Echocardiography in neonatal intensive care unit

Time : 10:00-10:55

Speaker
Biography:

Abstract:

Hajara Bashari

Nigerian Air Force Hospital, Nigeria

Title: Primary care fitness and wellness
Speaker
Biography:

Biography

Hajara Bashari began her career as a non-commissioned officer in 1986. She rose to become the first Hausa Muslim woman from a core Northern state to reach the rank of Wing Commander, equivalent to Lieutenant Colonel in the Army.

hajabash@yahoo.com

Abstract:

Abstract

Introduction: As one grows older one is faced with some health-related challenges by taking a look back to your younger years, then to adulthood and old age.  As one is growing the body and mind is changing that’s when one’s primary care provider will be one’s partner for life through health education and counseling.

What is Primary Care: Primary care is the day to day health care given by a health care provider being the first contact for the continuous care of any patient/ client within the system. The care provider also coordinates further care as the need arises for other specialists and specialized clinics. The care is based on practical, scientifically sound and is socially acceptable and easily accessible to individuals and families.

What is Fitness: Fitness is the condition of being physically fit and healthy or has the quality of being suitable to fulfill a particular role or task. Fitness can also be the state of health and well being and the ability to perform aspects of one’s daily activities, sports, and occupation without any hindrance. The components of fitness comprise cardio respiratory endurance, muscular endurance, muscular strength, muscular power, flexibility, balance, speed, body composition.

What is Wellness: Wellness is a dynamic process of change and growth. Wellness is a state of complete physical, mental and social well being and not merely the absence of disease or infirmity.

Benefits of Fitness and Wellness: Primary care fitness and wellness is all about preventing illness which includes exercises, good diet/ nutrition and knowledge about potential health issues.  Most people have one or more health issues that are not normal and may feel frustrated to give up on finding a solution thus getting a care provider becomes very necessary. This is aimed at improving health, fitness, and quality of life through daily physical activity and creating life balance.

1.           Physical activities are an important part of living a healthy lifestyle. Exercises improve a lot of things in the human body such as improving the brain performance; sharpen the memory as well as burns out the calories.

2.           It helps in the prevention of cardiovascular diseases by improving the efficiency of the cardiovascular system.

3.           It helps in better management of stress and tension.

4.           It delays the aging process and helps in harmonious growth and development.

5.           Quick recovery after illness or injury and faster recovery of fatigue.

6.           Maintains good shape, size, and control weight.

7.           Improves the motor ability that is the strength, flexibility, endurance, and coordination of the body system. 

Conclusion

 Primary care fitness and wellness is very important to enable one to prevent health-related challenges as one is growing and also keep up with the day to day activities.  The healthcare provider becomes an important part of the individual by ensuring the client is counseled and educated on how to prevent illness.  Fitness and wellness play an important role in the lives of people by exercising regularly and maintaining a good diet/ nutrition. It’s important for one to be happy and by remaining healthy as health is wealth.