First of all...the quilt is absolutely adorable. But, before I could say if it were too juvenile for an elderly woman...I'd have to know the woman. Hopefully, yes it is much better suited for a baby or toddler. I do know some elderly ladies that are in the throws of dementia and alzheimer's that would be tickled silly with it!! Maybe you could donate it to an alzheimer's day care center or hospice or something.