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The APN will assess a patient with multiple health problems for the development of delirium.

Delirium is a severe change in mental capacities characterized by confused thinking and loss of awareness of one's surroundings. It is common within hours or days of surgery and is commonly related with multiple health problems, chronic illnesses, drug intoxication or withdrawal, and alterations in the metabolic balance.

Delirium is caused by factors like overactivity of the autonomic nervous system and by an acute organic process, which is a physically identifiable structural, functional, or chemical problem in the brain that is a outcome of a disease process outside the brain. It is particularly common in the elderly with numerous medical problems.

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