OTC MEDICINE – THE MORE THE MERRIER?

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Estimated duration: 60 min. without dissemination

*OTC – Over the counter

Aims of this module: to learn what OTC medicine is; to discover the phenomenon of polypharmacy; to look for  natural alternatives of supplements or painkillers; to reflect on own health and medical practices; to promote healthy choices;  to discussion and reflect; to boost creativity and group work

I ENERGIZER

„Risky pills”

Duration: 10 min.

Group size: max. 25 people

Materials: 5 non-transparent sacs, 255 red chips, 195 green chips, 5 golden chips (you can cut it out from cardboard), a flip chart to keep the score, markers

The Facilitator divides the group into 5 smaller ones (with 5 people max.). Each team gets 1 sac filled out with 15 green, 15 red and 1 golden chip.  The facilitator explains what follows:

The game will be played in 3 rounds.

Round 1:

Each member of the team is allowed to draw with their eyes closed from 1 to 5 chips at once. It’s up to them how many they want to draw, but they need to remember what number they decided on. The colors of the chip are equivalent to points – for every green chip the team gets 3 points, for golden 50 points, but for red -3 points. The purpose of the game is to collect the most points. The round finishes when every person drew their chips. Then the team counts their points, which are written down on the flip chart by the facilitator. The group doesn’t put back to the sac  already drawn chips.

Round 2:

To each team’s sac The facilitator  adds 13 green and 17 red chips. Again, the team needs to decide if they want to risk taking more chips or play safe taking less, but at the same time, the person who took 2 or more in the previous round can’t take less – the minimum is the number they took in the 1st round. The round finishes when every person drew their chips. Then the team counts their points, which are written down on the flip chart by The facilitator. The group doesn’t put back to the sac already drawn chips.

Round 3:

To each team’s sac The facilitator adds 11 green and 19 red chips. In this round every participant must draw 5 chips.  The round finishes when every person drew their chips. Then the team counts their points, which are written down on the flip chart by The facilitator.

The facilitator calculate the results and announce the winner team.

Next, the follow up questions are being asked:

  • How did you feel in this activity?
  • What strategy did you choose? Playing safe (drawing less chips) or taking a risk?
  • Are you happy with the result?
  • If you played again, what would you change?
  • How would you associate this game with the tittle of our workshop?
  • What resemblance do you see in green/red/golden chips and pills or supplements?
  • How the course of the game resemblance the life situation of taking medicine?

Hints for The Facilitator:

  • Prepare the chips and the sacs beforehand. Sacs don’t have to be large, but they need to be non-transparent, so the participants can’t see through them. You can print the colorful chips on the cardboard and cut them out. Make sure they are the same size.
  • Start every round when all the groups are ready.
  • Underline that in this game it is very important to play fair and not to pick while drawing chips.
  • The chips represent the pills and dietary supplements which are very popular and available widely as OTC medicine. Their colors and points show that we can have good, high quality and based on natural substances products as well as we can have harmful ones. The intensity of drawing them in each round stand for:
  • Round 1 – every person have influence over how many „pills” they want/need.
  • Round 2 – the more you take the more you’ll have to take in the future – the dose stays the same or gets bigger, because „the body/the mind” needs more
  • Round 3 – the last phase where, like sometimes in life, you don’t have the choice anymore – you just need to fulfill the organism’s needs by „applying” the maximum amount, which not always end well.

But in life, when you buy OTC medicine, you have influence and choice what you buy and how often you take it, so it’s really important that you decide well, taking under consideration composition, ingredients and potential consequences of what impact it may have on you.

II MAIN ACTIVITY

„Mix and Match = Polypharmacy”

Duration: around 20 min.

Group size: around 30 people

Materials: flip chart, markers, Infographic 1

The Facilitator  starts by asking participants questions about their experiences and daily practices connected with OTC medicine

  • Do you often buy medical products/supplements that are not prescribed by a doctor?
  • Why do you buy them?
  • Have you ever bought them because of the advertisement or other person’s recommendation?
  • What kind of products do you buy the most often?
  • How many and what kind of them do you take daily?
  • Do you ever consult the supplements/vitamins/pain killers or other OTC products with a doctor or pharmacist?
  • Is there any potential danger you can see in taking various medicines/medical products that you use without consult?

After the short discussion, the facilitator presents to the participants short lecture of polypharmacy, as a result of taking daily various medicine (prescribed and OTC) from Infographic 1.

To close the activity, the facilitator explains that in the Evaluation part, the participants will actively

create ways of stopping polypharmacy.

Hints for The Facilitator:

  • The participants should feel free and comfortable to share their stories, so create a peaceful and trustful atmosphere.
  • You should prepare information about polypharmacy beforehand – on the flip chart or digital presentation. While doing so, get familiar with the term and some more articles about polypharmacy:

https://www.aafp.org/afp/2019/0701/p32.html; https://www.sciencedirect.com/topics/medicine-and-dentistry/polypharmacy; https://www.freedomcareny.com/posts/what-is-polypharmacy

III EVALUATION

„Instead…”

Duration: 30 min.

Group size: Any

Materials: smartphone, social media account

As a continuation of the previous activity, but at the same time the summary of the whole module, the Facilitator asks each participant to reflect on one advice that they would give themselves and other people, that regards limiting of taking dietary supplements, pain killers and in general medical products that are not necessary or prescribed.The advice should sound like this: „INSTEAD of  taking  vitamin D in pills,  get some SUN”, or „Headache? drink water, breathe deeply and smell lavender INSTEAD of taking another aspirin”. Important is, that the participants check some alternatives of traditional vitamines, supplements or painkillers before they create „the INSTEAD advice”. After they came up with their ideas, the facilitator asks everybody to record it as a very short selfie- video, which they will post on their social media stories (instagram, facebook, tie tok) with #INSTEAD #startnowplus.

IV DISSEMINATION

Activity „Let’s get clean”

Duration: max. 60 min.

Group size: none/individual task

Materials: medicine cabinet at your home

The Facilitator invites participants to join, at any time suitable for them, a challenge of cleaning their home medicine cabinets. Cleaning means throwing out expired, or no longer needed medicine – pills, syrups, supplements, bandages, creams etc. as well as organizing those which still can be used – putting them into the smaller boxes with correct labels, for example: cold, digestion, vitamins etc. The facilitator should remind people, that expired/no longer needed medicine can be left in a bag in a local pharmacy, but can’t be thrown in a regular trash can. This activity can be helpful in pointing out how much unnecessary medicine most of us buy and maybe it will be a wake up call to limit this practice and instead look for more natural solutions, like healthy diet, sport and social interactions.

MINDFULNESS IN TIMES OF PANDEMIC

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Estimated duration: 60 min. without dissemination

Aims of this module: to learn what is mindfulness and how to daily practice it; to reflect on own life choices and identity; to find peace and purpose even in the midst of chaos; to be still; to come up with helpful and enriching solutions in life; to re-connect with nature; to boost creativity and group work

I ENERGIZER

„S.T.O.P”

Duration: 15 min.

Group size: around 20 – 28  people

Materials: big room or fresh air,  Infographic1 for debriefing

The Facilitator  explains that this activity will allow participants to S.T.O.P  and invites them to start moving freely, in their own tempo in the room or outside area. After few minutes they ask them to pause and:

  • STAND and breathe. Feel connected to the ground.
  • TRUST in your body. Look down. Scan your body and note any physical sensations or emotions. Release any unpleasant sensations, notice the positive ones as you exhale and inhale.
  • OBSERVE your surroundings. Raise your eyes up and see what feels good. Be thankful for this beauty and people around you.
  • PERSPECTIVE anchoring – ask yourself what new appears for you and what is your next step.

Next, the facilitator asks the group to share with them some reflections, answering following questions:

  • How did you feel in the exercise?
  • What did you notice (in your body, mind, surrounding) while you were in it?
  • How/why S.T.O.P can be  helpful as a daily practice?

As a summary, the facilitator can share with participants information about the Minfulness from Infographic 1.

Hints for The Facilitator:

  • Make sure you have big space, either indoors or outdoor. It will be much more appreciated if you have a possibility to do it outside.
  • Don’t rush the process. Mindfulness is all about seizing the moment.
  • This activity can be done individually, also in the condition of online training/workshop.

II MAIN ACTIVITY

„Where am I?”

Duration: around 30 min.

Group size: around 30 people

Materials: Infographic 2 printed out for each participant, pens, speakers to play calming and relaxing music, spacious room or outdoors, something to seat on.

The Facilitator explains that the next exercise will be fully dedicated to individual self-reflection, saying:

„In order to know where to go, it’s worth checking where you’re starting – what you already have, what can support you, and what you lack. Very helpful might be answering  questions from the „Where am I?” form.  Answer them by examining yourself carefully…”

Next the facilitator distributes the handouts and gives participants around 20 minutes to fill it up.

They can remind people to keep the silence during the whole process and encourage them to find a comfortable seat, listen to their favorite music (on the earphones), tune inward as much as possible and be honest.

At the end of the exercise, the facilitator can ask following questions:

  • Which question turned out to be the most important? Is it from the past, the present or the future? Why?
  • Have you seen more clearly where you are and where you want to go?
  • After completing this form, do you feel the same as before, or slightly different?

To close up the facilitator tells the group to keep this questionnaire and come back to it from time to time and observe how the answers to the same questions change and how you change yourself.

Hints for The Facilitator:

  • Remember to provide a cosy, silent place for people to feel safe and comfortable.
  • Remind participants that they should work in silence and fully dedicate this time to themselves.
  • This activity can be done individually, in the condition of online training/workshop.

III EVALUATION

„Mindful pandemic”

Duration: 15 min.

Group size: Any

Materials: flip chart, markers, colorful paper, devices with Internet access

After all the activities The Facilitator asks participants how mindful acts can help surviving crisis or difficult times, which we have all experienced (and are experiencing) during recent pandemic. Small discussion is very welcome to occur. As a summary to it and all the activities, participants are asked to come up with the ideas on „How to be  more mindful in the pandemic times”. The ideas – presented as a brain storm – are written down by the facilitator on the flip chart.

At the end the facilitator asks everybody in the group to choose one person and give them a strong and sincere hug, which would last three deep, shared breaths. People don’t need to breathe at one pace, but still it  will calm them down and bring a sense of security.

Hints for The Facilitator:

IV DISSEMINATION

Activity „Terapeutic nature”

Duration: at least 30 min.

Group size: Any/Individually

Materials: none

The Facilitator encourages participants to do this walking activity – meditation whenever they have time and are outdoors, in the open air –  perfect if it’s forest or field, but it will work out even in the  small backyard or garden. The pace of walk should be very slow but rhythmic, definitely slower than a traditional one. It’s important to get into your rhythm. Breathing should be deep and as long as possible, longer than natural one. While you walk, see and notice the smallest details, feel the smell of the air, count how many birds fly in the air, pay attention to the shape of branches, clouds, count the number of flowers. If you find that your thoughts are drifting towards what happened at work, at home, what happened yesterday, or what you expect tomorrow, let those thoughts go away and return to your focus on being here and now.

Congratulation! You just became mindful 🙂

TECHNOLOGY – YOUR FR…ENEMY?

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Aims of this module: to learn  about positive and negative sides of technology; to interpret social fenomenons connected to technology and social media; to boost creativity and group work; to reflect on one’s social media and technology habits; to embrace possibilities of spending time apart from technology; to share ideas and reflections on modern world

I ENERGIZER

„+/-„

Duration: 10 min.

Group size: any

Materials: at least 1 big dice  (you can print it and fold it from here: https://team-cartwright.com/wp-content/uploads/2020/01/printable-dice.pdf ), on which you stick or draw 3 + (advantages) and 3 – (disadvantages), paper, pens.

The Facilitator  explains that this activity will allow participants to reflect on bright and dark sides of using technology and will introduce them into the topic of workshops. In case of a bigger group the facilitator divides participants into smaller ones (max. 10 people, min. 5). Each team gets one big dice (it can be printed out and folded, or when using a different one,  you can stick paper on its sides with signs + and -). The participants sit on the floor in small circle and one by one throw the dice. Depending what they throw, they say positive or negative effect of technology. One person from each group should write all the reflections down. After at least 2 rounds, the facilitator finishes the game and groups are asked to share what they wrote down.

Next, the facilitator summarizes the activity, asking  the group:

  • Was it difficult to come up with the ideas?
  • Which aspects – positive or negative was more? How do you think why?
  • Do you consider technology helpful or harmful?

Hints for The Facilitator:

II MAIN ACTIVITY

„An art critic – Society observer”

Duration: around 40 min.

Group size: around 30 people

Materials: Chosen and printed out pictures from: https://www.boredpanda.com/satirical-illustrations-addiction-technology/ – we recommend pictures: 1,2,4,7,8,12,13,16,26,28,38, 45; Appendix 1 (for each group), pens, colorful crayons

The Facilitator divides the group into smaller teams of max. 4 people. Each team gets 1 picture and a form to answer questions (appendinx 1). Their task is to reflect on a problem portrayed there and discuss it within the group. As a result they should complete the given form.

After the groups are ready (in about 30 min.), the facilitator asks them to share their work.

To close the activity, the facilitator can ask follow-up questions:

  • What do you think about these pictures?
  • What do they say about society’s problems?
  • Do you think they are accurate (the pictures)?
  • What problem, which appeared in the photos, in your opinion, is the most important?
  • What problem do people in your age face the most?
  • How can we minimize it? What you can do about it?

Hints for The Facilitator:

  • Remember to print the pictures in colour.
  • Remind participants that they should work as a team and include all the members input.
  • This activity can be done in the condition of online training/workshop.

III EVALUATION

„What’s on my phone?”

Duration: 10 min.

Group size: Any

Materials: Appendix 2 printed out for every participant, private smartphone or tablet of every participant

After all the activities The Facilitator invites participants to have a moment of reflection upon filling up the form „My phone – my mirror?” (Appendix 2). To complete the task they need to take a look at their smart/tablets.

At the end, volunteers can share their answers with the rest of the group.

IV DISSEMINATION

Activity „Give technology a break”

Duration: around 60 min.

Group size: around 10-30 people

Materials: big paper, pens, crayons, paints and brushes,  markers, magazines, scissors, glue

The Facilitator asks participants to create small groups (of 5 people) and form a creative list of ways how to spend a day NOT USING ANY TECHNOLOGY. The point is that the list should be very innovative and showing „out of the box” thinking. Additionally to each idea participants should create a picture, portraying that advice. They can draw, paint or create collages. At the end of their work the facilitator asks them to present their work, which can be later displayed in the classroom.