If you google fidget quilts or go to pinterest you'll get a bazillion ideas more than you need. If they had hobbies somethinbg that relates to them such as gardening , flowers sewn on or flower fabric print. I have a friend who was neon color sort of gal right into her 70's. Made two and she immediately gravitated to the shiny neon one. They all like to pick at things so anything that can be picked at and/or sewn on securely will be a hit.