So, do what is most important first, and rest, even when it does not seem necessary. Reordering familiar aspects of life is difficult for many people, and in the context of illness, may be difficult to plan. But, whether in modifying schedule or environment, some change is necessary. Placement of phone, medications, drinking water, toilet chair, and other essentials can significantly decrease energy expenditure. Some people find that moving the bed to a den or other living area increases the time family can spend together without tiring the person who is ill.
Heat tends to increase fatigue.
It is therefore necessary to maintain some level of activity as long as possible. This may only be getting out of bed and into a bedside chair on a daily basis or brief passive range of motion exercises. Depression and fatigue may work in a mutually exacerbating synergism. Several consultative visits from the OT can give patients and families invaluable pointers, including assistive devices, on how to maintain or increase independence without increasing energy expenditure. Insomnia tends to increase with age, is more common in women than men, and increases with illness.