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As someone who's only a decade younger than "grandma," regarding any case/cover selected, I recommend something in a bright color, or distinctive pattern, as I misplace stuff more than I like to admit, and something that stands out is far easier for me to find. Even if you have to "mod" it for her, that might help.
Since you may be buying secondhand, look for listings that include a case with the device. As devices age, it often becomes more difficult to find a sleep/wake cover for them.
A larger screen is very nice, but not essential if you have to keep costs down. I think the front light IS essential for older eyes.
Good luck and I think if you can find the right reader, your grandma will LOVE being able to read again!
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