This book is a halloween twist on the story, There was an Old Lady who Swallowed a Fly. I believe that any grade would enjoy this book. The Lexile level of this book is 400L. For younger grades, you could do a lesson on sequence of events. The children could be given an item that the old lady ate and have to line up in the correct order. You could even collaborate with the music teacher to make the story into a play. Each child could be given a certain role and get to make a costume. For older grades, you could do a health and writing lesson. Each child could make the old lady's stomach out of clear wrap and paper bags. They could place the items she ate in the bag and then items that would be healthier. The students could write about healthy alternatives for the old lady.