A cooling aid with adjustable positioning and support is a stack of a cooling sense layer, a hard layer and a soft layer to form a symmetrical cross-section. The hardness of the hard layer is relatively higher than that of the soft layer. Because the hard layer and the soft layer have different hardnesses, they can withstand a user's downforce channel and the degree of collapse, and have a large adjustment margin. Therefore, the medical staff can according to the user's body, purpose and use Position, adjust at any time which side of the assistive device the user should lie on, and correctly position.一種可調整擺位及支撐之涼感輔具,係為由一涼感層、一硬質層以及一軟質層堆疊組合成剖面具有對稱形狀之輔具,其中該硬質層之硬度相對高於該軟質層,由於該硬質層與該軟質層的硬度不同,可承受一使用者下壓力道以及塌陷程度都不同,具有較大的調整裕度,因此醫護人員,可依據該使用者的身材、使用目地以及使用部位,隨時調整要讓該使用者躺在該輔具之哪一面,以及正確擺位。