A stethoscope from an auto shop is a worthy addition to the toolbox. Typically used to listen to fuel injectors to detect variations in pitch (especially on the old k-jet mechanical types).
And placing it around the head and block area it will quickly tell you where rattles are. Listen for clear click clacks for valves and valve buckets colliding.
Stand at the exhaust pipe and have a good listen, any unevenness in running or valve problems will be apparent.
In coolant reservoir, any froth?
Compression readings - around 154psi for aged motor.
Other than valve bucket cushions, I wouldn’t be planning to spend any money on that engine at this point, as a replacement might be the best way ahead. Maybe someone could lean over your shoulder when checking valve adjustments, as its not easy to get the feel of the feeler guages.
Like i said also try and hear if there is noise around the transmission to engine area.
Anthony