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My Dad always had excellent luck with the hot water ear wax cleaning. For him it made a big difference.
My mom had to have custom molds because her ear canals were partially collapsed.
Most hearing aids making EVERTJING louder, including background noise. Many folks who use them miss subtle cues because they aren't hearing them.
Does your mom do better in one to one conversation in a quiet setting?
Look for a therapist with the initials CCC-SP as part of their professional title.
I am 77.
At present I notice that I cannot multitask nor can I multi-HEAR. That is to say, if two things are happening at once I will automatically shut off one of them. For instance I cannot go through the grocery check-out and hear a conversation with me other than the checker; I am focused. I cannot type here on the forum and hear my partner on his own computer right next to me telling me some news (tho he says I will often respond to it).
Without HAVING an aging brain it is almost impossible to describe. I have always had a bit of an anxiety disorder that goes out of whack when things go out of order. A bit OCD. But NOW when anxiety hits I am all but useless in confusion and helplessness.
It is not easy at all to differentiate the brain of the aging and the brain of beginning dementia, so I would leave it to the experts with a neuro exam. They have those little trick questions. You know? Draw me a clock. I will tell you three words and in 15 minutes, after we chat, I will ask to you tell me those three words again. Who were our last three Presidents. And so on.
If this is a "need to know" time, then see the knowledge.
I will also say that my partner has hearing aids, and completely able to adjust them with his cell phone app and etc. But finds them worthless in some situations, annoying in others and just great in still a third subset. So ASK your Mom. Are the aids helping you. Are they annoying in some situations, etc.
Noisy restaurants really rattles my brain, I can't think at all. My OCD kicks in. I want to grab the food and run out the door !!
And don't start a conversation if I am standing next to a running microwave, my brain is hearing only the microwave.
MBFoster, so you get the picture on some possible issues. My Mom always had problems with her hearing aids, thus could only pick up a word or two and run with those words. Many times I am sure someone thought my Mom had dementia, but she was still sharp as a tack.
https://www.agingcare.com/articles/alzheimers-disease-dementia-warning-signs-144253.htm