D.H.
How about some silly board game?
My Mom got a cane when she turned 40 and then returned it to the giver when he turned 40.....then it became a pass along between them every year........
Comedy movies are good too and can be used whenever she is down......
Go to the dollar store or to a party store and just look around.....they have some great things that you wouldn't even think of......
You might even do some research and find out what the paper had it on her day of birth wherever she was born..........and make a little collage of pictures or articles....
Good Luck and I'm sure she'll have a great time.