Comes up and puts a paw on my arm or leg, but only when she feels the problem is serious. It could be water, food, liter box, or just a notion that I need to give attention due to hours working on some project or something; usually when I’m seriously hurting or sleep deprived. I’m always present, only ever leaving for doctors or a physical therapy routine. I’m accessible for both cats most of the time. The older seems to intuit not to abuse the gesture or use it often. When she does put her paw on me like that, I always look into the issue, so we’ve developed it as a form of direct communication that seems to work. I didn’t train her to do this, I did however train her to be quiet using positive reinforcement. We got the older cat about 6 months after I was disabled, so we’ve been through a lot together in the last 10 years.