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Don't feel bad. We used to meet a couple every week at a fast food restaurant. One week they were late and when they showed up she said he had fallen asleep at the table and then fell while getting up. (He suffered from Narcolepsy) She went to get their food and he sat down to talk to us. He was a slow talker anyway but seemed to be slurring a little bit. He wore glasses but I noted his eye was a tiny bit droopy. She came back and we had already eaten, so left. I told my DH when we got to the car I think he had a stroke but didn't go back and tell the wife what I thought. I found out later that when she got back to the table, it was more prevalent he was having a stroke and he was taken to the hospital. My first time seeing a stroke so I did not trust my instincts.
She may also have a bad UTI as that can cause confusion as well. Get her to the hospital ASAP.
And then you can worry about the cats.
Things that make you go hmmm........
Depending on her state of residence, the animal shelters and Humane Societies are chock full of animals. If they are full, call Animal Control. Re-homing the cats will take a while, as was my experience in south FL recently for one 11-yr old cat. All the no-kill shelters in proximity were full. You may need to appeal for temporary help from her neighbors until they can get placed.