I try to get plenty of rest, but as Diane T says, that can be hard when you are in pain. I am 61 years old, have had PsA for at least 20 years. I also have fibromyalgia, Sjogrens, IBD, psoriasis, and AS. I never was a napper, but as the disease progressed, I have learned to take an hour or two nap if the fatigue is over whelming, and it does help me. I too drink tons of water, and eat when I can,(I am nauseated a lot), and just try to manage as best I can.