DEFINITELY ask if you and she can work together with an Occupational Therapist on this problem--I have a good friend that is an OT and it's always amazing the exercises,tools, and techniques she comes up with to help people regain their previous level of ability. you didn't say if she's right or left handed--but assuming she's R handed, a new machine that has the needle up/down and speed control, along with start/stop button so you don't have to use a foot pedal,drop in bobbin, may be needed--they are out there without costing 2 arms and 2 legs! precuts or having someone else cut up a kit; using a needled threader (just saw one on FB to use with your machine) or having a friend pre-thread, help with pressing or using a mini-iron. If she's R handed, it will take her some time to learn to use her L with any precision. Another idea is to cut some foundations for her to machine sew crazy quilt blocks using fancy stitches on a machine. (sew and flip) good luck-you are a good friend. But definitely work with an OT!