Conditions such as chronic fatigue, shortness of breath, COPD such as emphysema or asthma, other lung conditions, or prolonged illnesses can affect energy levels and breathing control. It can be difficult to sleep to recover and re-energize. Repositioning in bed is physically demanding at the best of times. When breathing is compromised, the task of turning side to side or getting in and out of bed is made more difficult. Pacing oneself and using energy-conserving strategies such as friction-reducing sheets and sleepwear can have a positive outcome on breathing, sleep and quality of life.