The expected decline in mum is still ongoing, she's been in the CH a few years now and is now I would say a late stage 6 / early 7. She's doubly incontinent, her speech is starting to break down and she is losing interest in food / drinks. Lately she has become more tired, not wanting to engage with the goings on in the CH and preferring to stay in bed. The CH staff try to get her up in the mornings but she resists but the staff keep trying and by early afternoon she is reluctantly up. She is increasingly unsteady on her feet and has had a few falls because of this. I have said that I'm happy to let her stay in bed as much as she wants but the CH staff say this is not good for her and will only hasten her difficulty in remaining mobile. I can see what they are saying but this disease will inevitably make her bedridden at some point and I believe she should be allowed to stay in bed if thats what she wants. I do think that they prefer the patients to be up as its easier to keep an eye on them in a communal lounge plus I guess their personal care is easier if they are somewhat mobile - I suppose my question is could she stay in bed if she wanted to? (its an EMI home so surely they have some patients who are bedridden) or is it better to keep getting them up daily against their wishes.