I started nurse training in 1978 and have worked with diverse groups of people across all ages as a midwife and as a health visitor. I hold registration with the NMC as a nurse, health visitor and Lecturer/Practice educator. As a practice development nurse, working across an area health authority and newly formed primary care trust I was responsible for the implementation of non-medical prescribing in the area at a time of massive change in primary care and community nursing. I became interested in how nurses practice in different settings and roles as a result of implementing this project.. I have been a lecturer in the School of Nursing since 2002 and I am responsible for coordinating post registration and post graduate programmes in the School of Nursing. I have been a Fellow of the Higher Education Academy since 2007 I was very fortunate to be given the opportunity to study for a PhD, commencing in 2013 on a part time basis. The aim of the study is to improve the recognition of acute physical deterioration in the health of nursing home residents with particular reference to the role of admissions assessment and ongoing monitoring of physical health. My interest in the subject for my PhD study came as a result of being involved in data collection in nursing homes for a research project exploring the care of people with Parkinson’s disease living in care homes.