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Ask for a UTI test as an infection could be the cause of her symptoms. put that in the note. Don’t worry about making her sound bad. She needs to know if she has a problem. The doctor needs to know more than they can see in 15 min. Many (most) elders will say they are fine. They will be a little nervous and somehow a bit sharper than normal. It’s called showtiming. A first appointment is an excellent time for the doctor to get a baseline test which would tell them if she needs a referral to a neurologist.
On this forum there is a list of care topics. Click on that. Then look up Activities of Daily Living. What you have written indicates mom is having trouble with her ADLs. Notice the levels. This is helpful for you to be aware of so you can track how she is doing over time. Also read the one on Paranoia.
That might help. Good luck on the appointment.
Track your mom's behaviors. I keep a calander of my husband's health issues and changes, helpful for me to have a baseline to work from and to bring to his medical appointments, as he tends to gloss over all kinds of problems or (naturally) does not remember when things like nearly falling or periods of prolong sleep happen.
Do NOT use judgmental or loaded words - come to that, try to avoid forming the thoughts - such as obsessed, paranoid, accusing.
The symptoms are the facts, the statements about what is taking place.
The descriptions are your fears about might what be causing the symptoms. If you don't want her to "sound bad," and more particularly if you don't want to make her feel bad, as in afraid or accused in her turn, don't show that you're jumping to any conclusions about what's going on.
So to the MD: "we've become concerned about mother's ability to manage day-to-day routines because we have noticed some changes recently. For example: X, Y, Z."
Here's why I suggest not saying much when your mother is being interviewed by the physician. I did this when my husband was at his doctor's appointment, and he started to ramble on about someone, something about it was all a funny joke, laughing to himself and it was as if he was the only one in the exam room....totally off topic from what was being discussed at the time. I did not say a word-the look on the doctor's face was worth my silence, he was a bit taken aback about the way my husband was behaving, but did not say a word to my husband about his behavior, and steered him back to the topic at hand. So....best to let nature run its course, and see how your visit goes. Of course if your mom tells a whopper of a "lie" (this is her reality now) then you might offer a different version of what happened. But-I'd just let her chat and see what happens.