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She's 91. I think that kind of answers the question completely.

We are not made to live forever, in fact, it's pretty miraculous that we live as long as we do!

My mom also wakes up foggy-headed, and it takes her 3-4 hrs to kind of re-set her mental clock. There's nothing we can DO for it, and so we all just acknowledge that pushing 93--she's already outlived the average lifespan for a woman in the US.
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My mom 86, officially diagnosed with dementia, has same thing happen frequently, though not every day. She takes no medication of any sort, save the occasional tylenol for hip pain. Best I can describe is that she doesn't know where she is (kind of like when you first wake up and before you get your bearings) except her fog lasts for a few hours. She is otherwise physically healthy. So something to consider is that your mom has memory loss related or not to beginnings of dementia. Just something to consider, that's all.
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My Dad had a clogged Carotid artery in his neck. It made him "foggy" when he first got up.
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Your profile states that your mom:

"... is 91 years old, living at home with age-related decline, hearing loss, incontinence, lung disease, and urinary tract infection."

and

"Caring for my mom from a different state, she has caregivers."

Age-related decline can certainly include short-term memory loss. It did for my MIL when she turned 80 -- she didn't remember that we just called her or whether she had eaten that day or not.

That being said, there are other medical issues that can cause fogginess: active UTI, dehydration, thyroid problem, over- or under-medication (like for thyroid), lack of oxygen to the brain (COPD/lung disease), diabetes, vitamin deficiency, tumor, etc. and other issues.

Hearing impairment can certainly make one feel disconnected. Your mom has an existing medical issues that can be contributing to her morning fog (lung disease). Does she use oxygen? More info would be helpful.

Her pulmonologist should be consulted, and any other doctor connected to any prescription meds she takes (like for thyroid, because it is weight-based dosage).

If she's taking sleeping pill (OTC or prescription) this should also be scrutinized.

I would review her med dispension with her caregivers as well, to make sure they are being given accurately and timely. Also that they are not giving her anything OTC for sleep.

It will take some sleuthing to sort it out. In the end it may just be memory impairment and nothing else, for which there is no solution. I wish you success in getting answers!
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