Posts By / mboard

ADRC adapting to COVID-19 Part 2

A screenshot from a coffee morning meeting

Dr Michelle Heward in a previous post discussed how BU’s Ageing and Dementia Research Centre (ADRC, @BournemouthADRC) have been engaging with older people to discuss research being undertaken,  pitch new ideas of research we want to undertake, and listen to what this group believe we should be researching.  The first 2 coffee mornings were led by Professor Jane Murphy discussing her research on nutrition, and Professor Jan Weiner discussing his research on wayfinding. The 3rd coffee morning was led by Dr Michele Board discussing how nursing has changed over the last 40 years, and her research exploring the role of Advanced Clinical Practitioners (ACP’s) looking after older people during the COVID19 pandemic. Using pictures to generate discussion those attending discussed their own healthcare journeys and concerns about nurse education. ‘Bring back matron’ and why nurses needed to go to university were questions that generated much discussion. Michele explained that healthcare has dramatically changed since she started nursing. As an example 35 years ago women undergoing a hysterectomy would be in hospital 2 day pre operatively (!) and 10 days post operatively. Today  women will be admitted on the day of their operation and remain in hospital between 1-5 days post op. Another example is in the care of those following a stroke. Patients would be in hospital for a long period of time and sat in ‘buxton chairs’ and tipped back because their balance was poor. Our understanding of post op care, and the care of people following a stroke has increased dramatically in that time, with shorter length of stay (Home is best suggests Board and McCormack 2018), and significantly better patient outcomes. The buxton chair has gone! These advances alongside an ageing population with multi-morbidity, increasing frailty, has led to an increase in acuity of care in acute hospital environments and in the community. Nurses need to be critical thinkers, challenging how we care and what is best for each individual patient. Nurses have to deliver excellent hands on care, with expert holistic assessment and evaluation skills. They lead teams and influence how care should be delivered from the bedside to strategic decision making. For those reasons nurses need to be knowledgeable, to critique the evidence as well as  create the evidence to support how care should be delivered. That is why a university education, supported by 50% of their course in practice settings, is essential. That is the nurse I want to care for me and my loved ones, compassionate, kind, caring, and knowledgeable. To illustrate this further Michele shared examples of the research she is undertaking of the brilliant nurses and allied health professionals working as ACP’s during COVID19. During focus groups and 1-1 interviews the research team (Dr Dawn Morely, Dr Janet Scammell, Kelsie Fletcher,@AN4LTH) and 3 practitioners from Dorset Healthcare, Cliff Kilgore, Mary Edwards and Dr Pippa Collins,@DorsetHealth), heard how the ACP’s advocated for patients, led to the development of services, their responsiveness, flexibility and adaptability during an enormously challenging period  – it was very inspiring. Their advanced critical thinking skills ensured the care they delivered was holistic and person centred. Hopefully those attending the coffee morning were convinced that a university education for nurses and the new role of ACP’s illustrated the expertise of postgraduate nurses delivering care on the front line.

So…on Monday I was in the Kremlin!!

but no worries I’m out and back in the UK!!

I had the privilege of being invited to represent the British Geriatric Society (BGS) Nurses and AHP Council to talk about Dementia and the nurse’s role at the Scientific and Practical Conference Long Term Care Focus on Dementia in St Petersburg last week. What struck me most as I listened to the presentation interpreted from Russian or Hebrew into English is that when it comes to talking about dementia we have more in common than divides us. Nurses, academics, physicians, psychiatrists, and nutritionists all talked about wanting to provide a person centred approach to care, seeing the person not their diagnosis and in essence wanting to offer a humanised approach to care. They discussed the importance of preparing nurses to work with older people and people with dementia and the challenges this poses for the curriculum. They emphasised the need for more research into what is ‘living well with dementia’ and how we can provide it. The presenters spoke with a passion that was inspiring.

I was able to offer the UK perspective and highlight examples from the Ageing and Dementia Research Centre (ADRC) at BU about our innovative approaches to education, research and practical examples of enabling people with dementia to live richer lives. My talk was being translated from English to Russian so as I started my talk I invited everyone to stand up to relieve their pressure areas (we had been sitting still for 2 hours and I am a nurse after all), I do not know what was translated but everyone did stand up, looking a bit bemused. Fortunately when I said to sit down again they all did – hand gestures helped! I felt like I was at the UN with my earpiece carefully in place, but was in awe of the eagerness to learn from others. I was the only person from the UK, but there were speakers from Norway, Israel and of course Russia all presenting. We have so much in common that I hope our conversations will continue.

I was able to stay the weekend and did a mini tour, that included the Hermitage Museum, the ballet (wow!), an overnight sleeper train to Moscow (I felt like I was in a Agatha Christi film), and of course go in to the Kremlin.  It was a fascinating conference and trip.

Nursing Students Experience Virtual Reality


The ADRC is working with Alzheimer’s Research UK to evaluate another form of simulated learning and evaluate the effectiveness of their newly created Virtual Reality app ‘A Walk Through Dementia’ (AWTD) which offers a unique glimpse into life for a person living with dementia. The Android and IOS Phone app was developed by Alzheimer’s Research UK and virtual reality specialists VISYON, and uses the widely-available Google Cardboard headset. It is designed to help the public think beyond memory loss to gain a fully immersive insight into the varied symptoms people with dementia can experience in everyday life.


A Walk Through Dementia is the first time a smartphone Cardboard app has been used to engage the public with the condition. The experience, which can also be viewed headset-free on the app or online at, uses a combination of computer generated environments and 360 degree video sequences to illustrate in powerful detail how even the most everyday task of making a cup of tea can become a challenge for someone with dementia.  To date Alzheimer’s Research UK have received some preliminary feedback on using AWTD from the public, health care professionals and care sector.


On 11th October over 280 year 1 undergraduate adult and mental health nursing students attended a Dementia themed study day, led by Dr Michele Board, and during the day they gained insight into the lived experience of dementia using the AWTD Virtual Reality App. With support from Professor Jane Murphy, Laura Phipps from Alzheimer’s Research and Professor Liz Falconer, the students were instructed to use the app and discuss questions about the film and how it might influence their practice. The prospect of this session was a little nerve wracking, but the result amazing. The students really engaged and said how valuable the app was and giving them an insight into dementia.

Summer Research Assistant: “An eye-opening experience” Laurie Emerson


I have just spent the last month working with the team at the Ageing and Dementia Research Centre (ADRC) working on DEALTS 2, a training program commissioned by Health Education England that incorporates simulation, and aims to improve dementia training in acute settings at a national level.

This month has been eye-opening, insightful, and above all exciting. I was firstly amazed by the amount of responsibility I was given by Michele Board, Jane Murphy, and Michelle Heward, who set me to work with analysing the data collected from DEALTS 2 workshops. Indeed, it is often thought that Research Assistants deal with the ‘back end’ of the project, which I can understand would make the task mundane. Nevertheless, with the varied roles and responsibilities, I soon felt immersed into the project.

I was given the responsibility of putting together some preliminary findings to present at the Humanisation conference. Not only was I given role of creating the slides, but I had the pleasure to present the findings at the conference with Michelle Heward. This was a fantastic opportunity to not only feel part of the project, but to increase my confidence, network with likeminded professionals, and feel part of an academic community.

I was also lucky enough to travel to London to help deliver the DEALTS 2 train the trainer workshop to the dementia ‘trainers’. I was able to run through some simulations with the trainers, which again increased my passion and accountability for the project. The whole day was inspiring and highlighted the need for such a project from seeing its real world applicability. This has indeed supported my work in the office when conducting the literature review for the DEALTS 2 project, which we aim to publish in due course.

Overall, this project has exceeded my expectations, and not once have I felt like an RA, but rather a team member. Working in the ADRC office has opened opportunities to learn from others, attend seminars with colleagues, and have a glimpse of what academia can be like. It has been a pleasure to work alongside a team who are so clearly passionate about ageing and dementia, which has certainly consolidated my desire to work in this field. I would highly recommend fellow students to consider summer RA positions because it not only allows you to apply the knowledge you have learnt throughout your degree, but it enables you to increase these skills in new and invaluable ways. Although my contract is over, I am not finished with DEALTS, and intend to continue to help the team publish the paper.

I want to thank Jane, Michele, Michelle, and the rest of the team for giving me an insight into their world and providing me with such a fantastic experience. Although I am leaving Bournemouth University to do my masters in Occupational Therapy, I have no doubts I will work with the ADRC again in the future.


Laurie has been an excellent student to work with, we were also fortunate to have her as part of our team. She’s been diligent and proactive, and its not a surprise that she secured a first in her degree in psychology.  We wish her every success in the future.

Week 1 – Laurie Emerson working with ADRC as a Student Research Assistant

Having just completed my Undergraduate degree in Psychology, I have embarked on a summer Research Assistant position working with the Ageing and Dementia Research Centre (ADRC) here at Bournemouth University. I will be working closely with an expert team within the research centre – Dr. Michele Board, Dr. Jane Murphy, Dr. Michelle Heward, and Ashley Spriggs, who have all dedicated their careers to this particular field.

Our current project focusses on ‘Dementia Education Through Simulation’ (DEALTS), a dementia care training program for healthcare professionals, which has previously been delivered in a ‘train the trainer’ format to healthcare trusts. The current program, DEALTS 2, aims to build upon the previous DEALTS, and provide an up to date evidence-based framework. This updated program signifies the importance of empathy and humanised care when training, which aligns closely with Tier 2 .The current training program utilises simulations including videos, case-studies, and role-play to help increase relatability to the patient.

My role within this project is to support the team within the Faculty of Health and Social Sciences on an evaluation of DEALTS 2. Initially I am expected to analyse the feedback questionnaires taken from the DEALTS 2 sessions. Other responsibilities include helping Dr. Michelle Heward deliver a presentation at the BU Humanising Caring, Health and Wellbeing Conference, 29th – 30th June. You can register for a place at

I will also be conducting a literature review, and help out at one of the DEALTS 2 training sessions. This will enable the foundations for the team to eventually create an up to date evaluative research paper on DEALTS 2.

So far, I am excited by the responsibilities given and organised work structure. Not to mention feeling incredibly welcomed by the team, which has lead me feeling immersed in this project. After having previous experience with research assistant roles, this project has so far exceeded my expectations in terms of my roles and responsibilities. I feel excited enthusiastic for the scope of opportunities this project could bring.

I intend to report my experience at the end of my work placement, and hopefully will finish with some significant data to report, and greater insight into DEALTS 2. I look forward to what the next four weeks may bring!

Laurie Emerson

Research Around Ageing and Later Life.


Michele Board with Sheila Peace, President of the BSG, Associate Dean (Research) Professor of Social Gerontology Faculty of Health & Social Care The Open University

Michele Board with Professor Sheila Peace, President of the BSG, Associate Dean (Research) Professor of Social Gerontology Faculty of Health & Social Care The Open University

Michele Board (HSS), Laura Reynolds and Sophie Bushell (BUDI) recently attended the BSG annual conference in Newcastle, 1st to 3rd July 2015.
Michele presented two papers from her PhD thesis, on the ‘Five Senses of Home Framework’, and ‘A Qualitative Approach to explore the meaning of Home for Six Baby Boomers’. Given the current debate around housing the presentations were topical leading to a good discussion on the importance of home and participatory research.

Laura Reynolds (BUDI Research Assistant) hosting one oral presentation (‘The BUDI Orchestra: evaluation of a novel music initiative for people with dementia and their carers’), and BUDI PhD student, Sophie Bushell, disseminating her research ‘Promoting well-being for residents with dementia living in a purpose built care environment’ via poster presentation.
Laura says:
“I couldn’t have asked for a better conference to present at for the first time, and I’m grateful to have been given the opportunity to do so. It was insightful to see other institutions’ research and to share ideas with like-minded people from across the globe.”

The British Society of Gerontology was established in 1971. It provides a multidisciplinary forum for researchers and other individuals interested in the situations of older people, and in how knowledge about ageing and later life can be enhanced and improved. The annual conference is friendly and exciting and an excellent forum to disseminate current research about older people.

I think BU has a great deal to contribute to research about older people from across the University and I would recommend looking at the BSG website and consider becoming a member.


Next year’s BSG conference is in Stirling, if you’re interested in putting together an interdisciplinary symposium for the conference let Michele know it would be great to have a larger BU presence! Conference themes next year include, Health and Social Care, Quality of Life, Technology, Environment and Housing, Relationships and Intergenerational Work and Dementia.

It would be good to be able to host the BSG conference in a few years’ time!! If you are interested in research, practice, education about older people and would like to get together over a coffee do please get in contact with Michele Board, Senior Lecturer Nursing Older People, Joint programme lead BA/MA Care of the Older person, HSS.

Inter-professional Education Dementia Themed Study Day

Last Friday we delivered the second dementia themed study day for the undergraduate students in the Faculty of Health and Social Sciences. In total about 500 students attended over the 2 days. Students from adult nursing, mental health nursing, physiotherapy, occupational therapy, social worker, nutritional students, Operating Department Practitioners attended.

The aim of the day was for the students to gain an insight into the lived experience of dementia and see the person beyond the diagnosis. The humanising values framework underpins the undergraduate courses and the students were encouraged to consider how they can deliver humanised care and avoid de-humanised care, when caring for people with dementia.

There were a range of sessions and delivery styles that engaged the students throughout the day. A carer spoke with compassion about how she looks after her husband who has Alzheimer’s, the students felt this insight would encourage then to work more closely with family members. Throughout the day many speakers showed films of people with dementia talking about their experiences, the students feel as a result of seeing these they will take more time to hear the voice of the person they are looking after. Working in pairs the students shared an aspect of their life story with each other. By doing this they were able to consider the value of individual life history in supporting the person with dementia.

There were further sessions sharing some of the research the faculty are undertaking with people with dementia. For example Dr Jane Murphy discussed her work around nutrition and offered some very practical tips that the students can take to practice to assist a person with dementia with their diet. Dr Michelle Heward from BUDI shared some of the innovative work being undertaken by this team. The day concluded with a presentation by the Alzheimer’s society, very timely in light of this being Dementia Awareness week.

One of the highlights for many students was a role play by five different health care professionals (Dr Bethan Collins,(OT), Carol Clark and Debbie Neal, (physio), Sheeran Zsigo and  Margarete Parrish (Social workers), Lesley Elcock and John Tarrant (ODP), Michele Board (Nurse)), who discussed their individual roles when caring for a person with dementia. This emphasised to the students the importance of collaboration when caring for a person with dementia.  Health and social care is too often fragmented, with services based on professional and institutional boundaries when it should be co-ordinated around the needs of patients. Following the Care Act 2014 a duty was placed on local authorities to promote the integration of care and support services with health services.  The role play demonstrated to the students the importance of integrated care and the interprofessional team working (and playing) together!

There were many positive comments from students including this one from an adult nursing student,

“Just wanted to say a huge thank you for today. Personally I feel this course has started with a bang and it’s been a shock. Todays reminded me why I’m doing this and its made feel more determined to keep working hard. So thank you for that”.

Michele Board, Senior Lecturer Nursing Older People.

International Association of Gerontology and Geriatrics (IAGG) European Region Congress in Dublin.


At the weekend Samuel Nyman and Michele Board were at the International Association of Gerontology and Geriatrics (IAGG) European Region Congress in Dublin. This was a fantastic conference with about a 1000 delegates from around the world, all interested in ageing!  The Prime Minister (Taoiseach) of Ireland, Enda Kenny, opened the Congress and we were treated to traditional Irish songs by retired public transport workers.

The days were full of sessions from a broad range of disciplines. The sessions about ageing in place, nursing care and assessment of those aged over 65 years in acute settings and residential settings were of great interest to Michele. Key points from the research presented was the importance of participation of older people throughout the research process, the significance of application to practice and the creative dissemination of research.

Michele had a poster displayed at the conference from her PhD studies on “How Does The Life Course Influence The Meaning Of Home For Six Baby Boomers?”,There was a lot of interest and some useful ideas from the more experienced researchers on developing the work further. Dublin Poster

Samuel chaired a symposium entitled, “New directions in promoting physical activity among older people”. Samuel presented the first paper on Do Strategies To Increase Physical Activity Among Older People Work For Individuals? This was from a series of n-of-1 randomised controlled trials used to evaluate the use of behaviour change techniques to increase walking activity among older people. Dr Merja Rantakokko from Finland presented the second paper onEnvironmental Characteristics And Life-Space Mobility In Community-Dwelling Older People. This was from an observational study with a two-year follow-up that investigated cross-sectional and longitudinal predictors of restriction of outdoor mobility among older people. Dr Anne Tiedemann from Australia presented the third paper on Fitbit Pedometers And Health Coaching To Increase Physical Activity Among Older Community-dwelling People. Using a subset of the intervention group from a randomised controlled trial, Anne presented findings for, the acceptability of a new intervention that aims to increase physical activity without also increasing falls. The final paper was presented by Dr Annemarie Koster from The Netherlands on More Movement During Sedentary Time Is Positively Associated With Metabolic Outcomes. This was from an observational study that used accelerometers to investigate the benefits of physical activity for older people even during seated activities.

Despite being the last session of the day, we had a good sized audience who asked lots of interesting questions. This was a great networking opportunity and has provided some fresh ideas and new contacts for future work.

Reminder Fatter Forgetter Friday 24th May

Just a quick reminder about this week’s seminar on Friday

‘The fatter forgetter’, the relationship between appetite and cognition.


May 24th  11.30 – 12.30. Room 302, Royal London House.

You are invited to an interesting seminar looking at the relationship between appetite and cognition, delivered by Dr John Rye from the University of Saskatchewan in Canada. I met John when vising Canada in November following a successful fusion bid, and I am delighted he was keen to deliver such an interesting seminar here at Bournemouth University.


Dr John Rye is currently an associate clinical lecturer in the department of Rural Family Medicine, at the Universisity of Saskatchewan, Canada, He also provides GP coverage for Nipawin , Blaine  Lake and Big River as well as looking after long term care residents in Prince Albert and is part of the rural dementia group. He was formerly in family practice in Prince Albert. He has been part of the palliative care team in Prince Albert since its start in 1991, and shared on it at IHI in Nashville. He is currently on the board of the Rose Garden Hospice, a project for residential terminal care. He went to Canada from England in 1984 with his wife Christine who is a certified palliative care nurse and president of the PAParkland Hospice Palliative Care Association.


If you are interested in attending please let Michele Board, Associate Director BUDI, know to book yourself a place.


‘The fatter forgetter’, the relationship between appetite and cognition.

May 24th  11.30 – 12.30. Room R302, Royal London House.

You are invited to an interesting seminar looking at the relationship between appetite and cognition, delivered by Dr John Rye from the University of Saskatchewan in Canada. I met John when vising Canada in November following a successful fusion bid, and I am delighted he was keen to deliver such an interesting seminar here at Bournemouth University.

Dr John Rye is currently an associate clinical lecturer in the department of Rural Family Medicine, at the Universisity of Saskatchewan, Canada, He also provides GP coverage for Nipawin , Blaine  Lake and Big River as well as looking after long term care residents in Prince Albert and is part of the rural dementia group. He was formerly in family practice in Prince Albert. He has been part of the palliative care team in Prince Albert since its start in 1991, and shared on it at IHI in Nashville. He is currently on the board of the Rose Garden Hospice, a project for residential terminal care. He went to Canada from England in 1984 with his wife Christine who is a certified palliative care nurse and president of the PAParkland Hospice Palliative Care Association.

If you are interested in attending please let Michele Board, Associate Director BUDI, know to book yourself a place.

Rural Dementia care, Lessons from Canada

Good Day All

 You are invited  to a one hour presentation by Professor Debra Morgan from the University of Saskatchewan in Canada. She will discussing her work in Rural Dementia Care.

 I had the pleasure of meeting Debra when I went to Canada in  November, and to spend time with the Rural Dementia Care team members, and visit the Rural and Remote Memory Clinic. It was very inspiring to see the services and developments for people with a diagnosis of dementia and their carers. I realised that our definition of rural and there’s is very different!! 

Debra is a nurse by professional background and has developed these services in Saskatchewan. This is a great opportunity to hear more about her work in rural dementia care so I hope you will be able to come along to meet and ask her some questions, on 30th January, 12-1, EBC, 202.

 Please do let Michele Board know if you plan to attend.

 You can find out more about Professor Morgan at


Visit to Canada following successful Fusion Bid

Following a successful fusion bid I (Michele Board) visited Canada in November 2012 to explore opportunities for research, education and practice that can be transferred to the BU/UK context. I was also promoting the newly formed BU Dementia Institute (BUDI), and build on our growing research interests with two Universities in Canada. The trip also included: a visit to the Canadian Alzheimer Association based in Toronto, Professor Pia Kontos at Toronto University, a Dementia memory clinic in Saskatoon, and delivering the key note presentation at fifth meeting of the Knowledge Network in Rural and Remote Dementia Care in Saskatoon.

Professor Pia Kontos at Toronto University was very interesting. Her research on person centred care reinforces the focus we have in our undergraduate nursing programme. She shared her creative approach for the dissemination of research, for example through drama and a new project she is undertaking around clowning. It is hoped ‘clowning’ will help build relationships with those suffering with dementia. See more information about her work at

The Alzheimer’s Association education team, in Toronto, were very interested to hear about BUDI and the education we have undertaken with Nursing Homes. They also look to the UK as leaders in the formation of a dementia strategy, and the PM taking a lead in promoting and funding dementia research. They are working towards the formation of a dementia strategy.

Visiting the memory clinic in Saskatoon was very interesting. The principle of the memory clinic was fundamentally the same as the memory clinic I have been working in. However, where they differed significantly was on two aspects: all data they collected about patients and their carers/NOK, was used in research, and the use of Telehealth to provide ongoing monitoring and support to clients in remote areas of Saskatoon. Post graduate psychology students were offered placements with the team in the memory clinic. The students actively participated in research whilst developing their skill in cognitive testing. Patients and carer satisfaction was obvious, but it was also supported by the data collected of user satisfaction with the service provided. See this link for more information about the clinic and their research


The memory clinic team, led by Professor Debra Morgan, have an annual conference inviting key stakeholders to hear about research undertaken in the previous year, offer suggestions for research plans and share best practice. There is a poster presentation and an award given to the best student poster. I was asked to be one of the reviewers of the posters and was impressed by the quality and diversity of research outputs from the memory clinic.


The key note presentation had four parts: an overview of BUDI and potential areas of mutual interest; the work I have undertaken in the memory clinic; my PhD findings and a tourist guide to Dorset! It was well received with many questions and expressions of interest in our work and visiting Dorset.


Finally the photograph shows me on the right, standing next to  Professor Morgan, Duane Munish and post graduate student, outside the universities ‘Faculty Club’! A definite potential for a fusion bid I’m sure.

Faculy Club University of Saskatchewan

BUDI to benefit from successful £3,834 Fusion Investment Fund bid


Following a successful fusion bid application I am going to Canada later this month. One of the aims of the trip is to promote the growing Bournemouth University Dementia Institute (BUDI), as well as develop new and existing relationships BUDI already has with our Canadian colleagues.

Rural dementia service provision is a growing strand of research work in BUDI (Bournemouth University Dementia Institute). GRIID is an international group exploring rural service provision led by Anthea Innes along with Debra Morgan (Canada) David Edvardsson (Sweden), Amit Dias (India) and Peter Birkett (Australia). The on-going collaboration received seed corn funding from HSC QR and is currently being written up for publication.  The trip to Canada will enable me to explore further activities to conduct under the GRIID consortia as part of the 5 year work plan of this international group.

It will also enable BUDI to continue to build on the existing links with Professor Morgan at the University of Saskatchewan, established by Professor Anthea Innes 5 years ago. During the trip I will have the opportunity to attend and present a key note lecture at the Annual Summit of the Knowledge Network in Rural and Remote Dementia Care. This annual Summit brings together around 50 province based policy makers, decision makers, practitioners and researchers who are eager to work collaboratively with the university to identify research opportunities and will provide a model to explore for the ongoing collaborative ways of working BUDI is establishing.  

Professor Morgan developed and leads a unique and highly esteemed memory clinic (Morgan et al 2011. Evaluation of Telehealth for Preclinic Assessment and Follow-Up in an Interprofessional Rural and Remote Memory Clinic. Journal of Applied Gerontology 30: 304-33) at the University of Saskatchewan and I will be visiting this clinic whilst I am there. The visit will not only develop my own practice, but will provide the opportunity to disseminate and share knowledge with the Dorset memory service teams on my return.

In Toronto I plan to visit Dr Pia Kontos at Toronto University. Her research on person centred care reinforces the focus in the programmes we deliver to undergraduate and post graduate students. Sharing her experiences of a more creative dissemination of research, compliments my PhD thesis which has used a visual methodology. A visit to another existing collaborator of Anthea, the director of the Canadian Alzheimer’s Association Education team, in Toronto, will allow us to explore potential educational work between BUDI and our Canadian Alzheimer Association colleagues.

So the week in Canada promises to be busy and I am sure fulfilling!