A lack of motor control reduces circulation and most people functioning within ACL 1.0 are cold. Warmth is comforting and can be provided simply by rubbing their hands, arms and face. Some family members do it naturally and others appreciate being told to go ahead. Showing them how to do a gentle message that prevents damage to fragile skin is something positive for them to do when they come to visit their loved one.
Warm towels and blankets have been heated in the sun or dryers. Now many facilities are using heating units originally designed for neonatal units. The costs of commercial towel heating units have diminished enough to be widely affordable. For some people, comfort is increased with weighted pads.
Placing the towel or pad across the abdomen might be the best location, but other locations should be investigated. Cold feet can be warmed by placing the towels over the same frames used to protect their feet from blanket pressure.
All heated towels and blankets require monitoring to prevent burns and skin damage. Facilities usually have policies about the use of heat that you should help write and follow. Policies should include guidelines for family members that are not unduly preventive of their engagement. Individualised training and the use of the visitor's book could be included to reduce legal liability. If this is the end of a person's life, family involvement in producing a comfortable and peaceful end merits special consideration.
When ACL 1.0 is the end of a progressive loss of ability to function, the perspective can be dying in peace.