We all know that increasing tiredness is a key feature of dementia as the disease progresses. I am keen to learn how this manifests itself with particular regarding to sleeping patterns, bed time routine and getting up in the morning. The reason I ask is that whilst mum is generally not at her best first thing in the morning we are in the midst of another spate of mum not wanting to get up in a morning. Has anyone else had experience of this? How did you deal with it? We have improved mum's bedtime routine which we now think is good. She goes to bed at an appropriate time and there is no fuss. However, this does not appear to have any effect.