In a pinch you can even ask their Higher Self if it is allowable. Or meditate with your grandfather in mind and mentally ask him if he would like you do to reiki on him. You'll likely get an impression of his spirit smiling, or a positive feeling. As with any form of healing it is normally suggested to ask their permission first, but when the person is incapable of speech just be sure you pay attention to any motion they might make that make that could an indication of pain or refusal of healing.
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