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If your loved one is used to eating lunch everyday at 12:15, and then one day you gave her lunch at 11:15, that might set off some confusion. Even one hour's difference in times can break a routine and be noticed by people who have an impaired sense of time to begin with.
So the reminder to look for and help our loved ones through any transition confusion is a good one.
And I think JoAnn is right, too. Sometimes things that happen around the same time can do so coincidentally. Lorraine2, if your Aunt's confusion continues to be this extreme and doesn't taper off in a few days, it might be good to contact her doctor to report new or worsening symptoms.