Dinning w dignity spoons & forks?

Yes I believe so especially when scooping up casseroles and meat.

Does this come complete or do I need to order something else to go with it? It says works with a "universal cuff" so is that extra?

No, this item is not complete – it is expected to be used with an additional aid. In the example of the listing it recommends the use of a "universal cuff" which is a common term for one of the types of dexterity aids required for use of this product. This right angle tool is designed to work with someone who has no dexterity or mobility in their fingers/grip. A universal cuff is a band or other fixture which wraps around the palm in the area near the web of the thumb perpendicular to the length of the arm, and near the base of the pinky. Wrist braces/orthotics/splints as well as universal cuffs include a slot or pouch which runs the distance of the palm on the front of the hand. The cuff slot forms a sleeve in which small items or utensils can be inserted. This tool is meant to slide into that sleeve (the bare metal bar), turning the angle of which the tool is held to 90° from the hand. This slot on the cuff and on this tool can accommodate something flat and narrow, or as large as the average pencil. This tool features a swivel which allows the black platform to pivot atop its mast so the angle of the slot can be adjusted to the user. Whether this tool is helpful or not depends on the user and their degree of dexterity and mobility, sometimes specialty silverware/utensils are required. Universal cuffs can be found pretty easily and can cost as little as $5 depending on what features or materials it contains. I am purchasing this item for the 1st time, but have used a practical the identical item 4 years – the item and my review of it can be found here: https://smile.amazon.com/gp/product/B0055PPMN0/ref=ox_sc_saved_title_2?smid=A32Y7HFRF7624F&psc=1

Right Angle Double Pocket Writing Aid, Utensil Holder Addition for Weak or Limited Grasp, Pens, Pencils, Toothbrushes, Eating Cutlery, Slides Into Any Standard Utensil Cuff or Strap

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