I got a light from Nancy's Notions last week that hangs around your neck. I'm using that for knitting and could easily use it for hand quilting too. It was very reasonable - something like $3 + on sale. You can move the LEDs too, kind of like shift them.
I would suggest that the quilter look into something like that. There's another kind advertised in the Keepsake Quilting catalog that has a similar setup.
lots2do