HAPPY BIRTHDAY PAT! Have a wonderful day and enjoy the discounts for being a senior. As for suggestions for an 81 yr. old: A gift card to get her hair done, has she ever had a massage, you could get her a gift card for that, a nice wrap for the cold days, slippers,a nice sweater, a watch, if she has a hobby (knitting, crochet etc.) you could get her supplies or something to hold her supplies in. That's all I can come up with right off the top of my head. Hope it helps.