Mr. Gupta's history includes the use of fenugreek and turmeric as ...

[bio_gurl]

Mr. Gupta's history includes the use of fenugreek and turmeric as alternative treatments for his symptoms of GERD. Examine the evidence regarding these supplements.
 
  What could you tell Mr. Gupta? Are there any concerns with the ingestion of these supplements?

Question 2

Mr. Walker will be transferred to the rehabilitation unit in the hospital for therapies with physical therapy, occupational therapy and speech therapy.
 
  Summarize the training that each of these professionals receives and describe their potential role in Mr. Walker's recovery.

[elyse44]

Answer to Question 1

 Turmeric: It has the potential to relieve dyspepsia, but side effects can include dyspepsia, GERD, and vomiting, to name a few. Turmeric's efficacy for GERD is not well established and it appears that it is primarily known for its anticoagulant/antiplatelet effects and thus may increase the risk of bleeding. It should be recommended that Mr. Gupta discusses this supplementation with his physician/pharmacist.
 Fenugreek: Fenugreek has shown in some research to improve heartburn symptoms if taken before the two largest meals of the day. That being said, it may cause diarrhea, dyspepsia, flatulence, and hypoglycemia (with large doses). It can also result in allergic reactions and have anticoagulant/antiplatelet effects, increasing one's risk of bleeding. Considering the possible additive/synergistic effects of turmeric and fenugreek, it is advised he stops supplementation until given permission to continue their use by his physician.

Answer to Question 2

 Physical therapist - require a master's degree from an accredited program and must pass a national licensure exam; will help Mr. Walker with issues concerning mobility and reducing pain
 Occupational therapist - require a master's degree and must meet state licensure requirements; can provide assistance in Mr. Walker's rehabilitation and reintroduction into a normal lifestyle and helping him meet his daily needs (e.g. cooking, dressing, etc.)
 Speech therapist - requires a graduate degree from an accredited program and meet clinical certification standards; can help Mr. Walker with eating/swallowing issues and/or any speech difficulties he may be experiencing from his trauma

[bio_gurl]

Great answer, keep it coming

[shewald78]

TYSM