Keeping Busy Priceless Puppies 60 Piece Dementia and Alzheimer's Sequenced Jigsaw Puzzle Engaging Activity for Older Adults Even with 60 pieces, the unique color sequencing helps guide the person to successfully complete the puzzle on their own 60 pieces, large enough to handle easily, but not so large that they don't look like puzzle pieces - finished puzzle measures 19" x 12.5" Designed specifically for people with dementia - age appropriate, not childish. No mention of "dementia" or "Alzheimer's" on the product or packaging Tested with people at various stages of dementia to ensure that it is well-suited, and enjoyed Full instructions detail how to present the activity to ensure that the person feels a sense of satisfaction and accomplishment