I had bought the Bios Car Ease and it is great, so I bought this product too. Although this is the same fabric and the same thing only bigger, it is not as good when used in bed. It is a long piece of nylon fabric sewn together at one end, so when held up it looks like a tube. When flat, the top layer is supposed to slide on the bottom layer. In bed, it bunches up and it didn't provide the same slide benefit as the car ease does. I find that satin sheets are the best for a person who is having trouble moving in bed. This Bios Turnease is also very expensive. I was disappointed.