The economics of ocean resources Essay Example | Topics and Well Written Essays - 1000 words

The economics of ocean resources - Essay Example In summary, Hardin’s article addresses the exploitation of common resources due to individuals self utility maximisation goals. Naturally resources are limited while human wants are not only unlimited but also recur. Rationally, individuals strive to maximally benefit from the available resources, which translate to exploitation of the resources. Hardin notes that, the benefits accruing from the use of these resources accrues to a particular individual while the economic loss associated is shared by the community. The rise in population worsens the impact. Therefore, to a single individual, over- use of the resource is beneficial despite harming the community and hence making greed rational. According to Hardin (1968), freedom to access resources enhances the tragedy. For that reason, Hardin advocates for increased government involvement in utilization of public resources and supports his arguments with failure of the’ invisible hand’ to generate a socially optim al solution in several aspects. Economic theory suggests that increased consumption boosts productivity and increases social welfare. The contradictory result that exists in consumption of common resources, especially the exhaustible ones, is what Hardin referred to as the tragedy, and expounded the definition of tragedy to cover both unhappiness and remorseful actions in life. According to Hardin, and many other scholars, the solution to the commons problem must involve an external controller. Government involvement and privatisation have been marked as the most effective solutions. However, given that the problem is caused by individual’s greed and affects the same individuals, collective action can be termed as not only effective but also a cheaper mode of reducing the tragedy. According to wade, collective action refers to the harmonization of actions by a group to achieve a common interest. As noted earlier, individuals are

MODERN ORGANISATIONAL CONTEXT Essay Example | Topics and Well Written Essays - 1750 words

MODERN ORGANISATIONAL CONTEXT - Essay Example Moreover, I feel that the increase in the credit facilities coupled with decreasing interest broadened the market for the firm, as more people could not easily afford a car. As per Barney and Hesterly (2005), in addition to that, the working population has increased as more women have entered the working sector and many are working and studying simultaneously. This has increased the purchasing power of the customers and sales have increased because of it. However, I feel with the increasing working population, the demand has increased along with the competition (Gourlay, 2001, pp. 27-46). As per Ahrens (2010) this means that consumers have more choice and have become much more demanding. Moreover, in countries like India for instance the middle class expands every year by 30-40 million people, which in turn means more people now demand cars in these countries. Today, moreover, the consumers are being offered car loans on easy instalments, which make a positive impact on the sales of Toyota. Additionally, explain Berzon and Khan (2010), the prices of raw materials and petrol have increased which affects the price and thus the sales of Toyota products. These economic conditions play an important role in the increase of sales on Toyota. These conditions have of course affected the strategies of Toyota. With the economic crunch especially in the USA, the firm was proactive and aimed to increase its sales in developing China and India where the crunch was less prominent. The global strategy adopted by the firm worked positively. Additionally. When the economic conditions in the USA lowered the purchasing power of the consumers, the firm changed its strategy and started production of smaller and cheaper cars. Lastly, Jensen (2010) explains that with the increasing prices of the raw material, the firm resorted to the hybrid variety of cars, which reduced the prices increasing the sales. Thus I feel that Toyota altered its strategies very smartly as per the changing ec onomic conditions with the result that even with a global economic crunch, the firm had little effect on its sales (Kane, 2010). Berzon and Khan (2010) explain that the social aspects include the changing trends, the smarter consumer in terms of being more knowledgeable regarding product information. Kane (2010) adds that the customer can now use the internet to know about the number of Toyota recalls in any part of the world, the latest technology available, the new models, price comparisons, product features and much more. The consumer has become more knowledgeable and thus firms cannot fool them with smart and deceptive advertising. Also, Gourlay (2001, pp. 27-46) add that the consumers are becoming more demanding with globalisation, as there are many more products available in the global market. The consumer has now become more fashionable and seeks comfort. Thus Toyota needs to cater to both these social aspects. Ahrens (2010) adds that tradition, culture and the customers in t he respective markets have to be studied before the firm can design a car. Jensen (2010) explains that for instance, in India, the drivers are right hand drivers, thus the cars have to be designed differently for the market. In the US there are more left-hand drivers. Kane (2010) adds that colour preference, design and accessory preference varies from market to market and thus the firms have to cater differently to them. This means that Toyota has to change its traditional lean

The Relocation of the Willnam Working and Service Building Essay

The Relocation of the Willnam Working and Service Building - Essay Example In this paper, the researcher will first present a detailed analysis of the main procedure regarding the timing of activities and the total float. For determining the activity time the researchers assign an appropriate timeline to each project activity. This time is given through some analytical or statistical study. Here the researchers make use of these methods to observe the main project achievement and development time. By this time the researchers obtain a project main timeline for the project execution. Here the researchers also assign the opposite sequence to each activity of the project. Through these assigned activity sequencing, the expansion of a project network diagram is developed. This procedure is able to be pretty time intense if completed by hand. Luckily, there are development organization software tools that be able to build network illustrations although there can be an illustration where the researchers have to perform it by hand. One of the main causes for build ing a plan organization network drawing is to decide the elasticity of the network. Total float is the time accessible for holding-up a movement with no hold-up end Date of the plan. The entire float of a task is then the biggest probable hold-up in the finishing of this task that will not reason a hold-up in the achievement of the whole project. This recommends the succeeding automatic notion: The CP (critical path) is the preeminent time's path in the course of the network diagram that makes a decision about the direct quantity of time projected for the achievement of a project. As planning, the CP attributes and activities naturally have a float equivalent to 0 (zero). To decide critical path actions, intact Float is computed per duty. Project activities that are not programmed in the CP will have the float. The process for the computation of the Total Float is the divergence between the Early Start and Late Start or like this (LS-ES). The researchers can also have an additional way for that is the difference between Early Finish and Late Finish or (LF-EF). To achieve the basic values to find the Total Float, every achievement would have to go in the course of the presumptuous pass to work out the untimed values as well as the rearward pass to compute the not on time values, subsequently that the â€Å"Total Float† method could be purposeful to every job. For the reason that this is capable to be fairly time overwhelming, the subsequent shortcut is able to decrease the time it acquires to compute Total Float: To decide the entire Float considered for the leftover tasks, go away to the subsequently top pathway.

Using Exposure Therapy to treat Post Traumatic Stress Disorder in Research Paper

Using Exposure Therapy to treat Post Traumatic Stress Disorder in adults survivors of child-hood abuse - Research Paper Example Exposure therapy relieves an individual to a greater extent from the psycho-social, interpersonal and professional impairments. The most methodologically strong studies manifest that psychotherapy along with exposure therapy bring rewarding outcomes (Robertson, 2004). Post traumatic stress disorder (PTSD) is related with considerable indicative morbidity. These individuals exhibit elevated levels of offensive thoughts or memoirs about the traumatic event with severe nightmarish. They do have flashbacks. Mere reminders may be perceived in the form of physical responses like amplified heart rate, profuse sweating or distress (Robertson, 2004). Individuals with terrible or appalling experience in childhood are severely affected. PTSD individuals display avoidance symptoms, they avoid socialization or visit to places that bring those harsh memories back, they feel isolated and secluded. These beliefs if not treated within time then it may become devastating and adulthood of child either becomes rebellious or behaviour may culminate into a psychotic disorders with great intensity of insecurity being seeded in every pursuit of life (Keane, 2002). It is essential to understand the psychology of PTSD individuals. Various psychological theories have been postulated claiming to be the remedy for PTSD, but the most efficient is "Exposure Therapy". It treats the individual through alteration or modification in behaviour by enabling them to overcome the disturbing thoughts or distressing incidence (Keane, 2002). Exposure therapy aims at enabling a person to diminish his/ her trepidations and apprehensions by means of eradicating avoidance behaviour. It deals with the confrontation of an individual with the same set of feelings or situations that he fears without avoiding them. This may be done by unswervingly exposing someone to a terrified entity or picture or going back in time to envisage

Strange New Land Essay Example for Free

Strange New Land Essay Strange New Land, offers a seemingly vast view of the presence of African Americans in present day North America. Mr. Wood describes the harsh and often brutal fate of African Americans during the colonization of America. Exploring Chapter 1, allowed me to view the way different cultures took advantage of not only African Americans, but Native Americans as well. Native Americans were invaded by Spanish settlers, taken into slavery and forced to live with harsh living conditions. Settlers exposed them to a vast number of diseases, and tricked other Native Americans into agreements, in which they were starved, made to live in the cold, and which ultimately led to the death of many of them. Native Americans were resistant to being overtaken and fought back to protect their people and their land. Spanish settlers needed more laborers to cultivate new land, and explore additional regions for settlement. Spanish Conquerors like Lucas Vasquez de Ayllon sent out to find laborers in Western Europe. During his search, he found that Europeans that practiced Christianity did not believe in exploiting its people. In return, the Catholic Church, did however, not mind the exploit of non-Christians to Spanish Settlers. As groups resisted fiercely, they looked to other options in which they could gain access to the slave trade. African Americans to my surprise came as a third resort. Spanish settlers wanted to gain access to the dreams of gold and silver told to be lying within the American soil. However African Americans would prove to be more valuable than just for labor. Spanish Speaking Africans such as Gomez and Esteban were great explorers and go-between people when asked to settle what is now the state of New Mexico. Being intermediaries between the Native Americans and Spanish settlers, they showed the resourcefulness that Africans held during the colonization of America. As I continue to discover how Africans came about to be in America, I was intrigued to learn that the basis of slavery were not limited to race at all. Religion played the most important role in colonization of America, as well as people becoming enslaved. If you were not of Christian belief system, then you were subject to being enslaved. From Mr. Woods accounts, he told of how even John Smith was enslaved for a period of time. And that the bases of slavery were defined upon much greater tools. Heredity was significant in the slavery system, because children of former slaves are said to have been born into slavery. The only thing I can account the Spanish settlers for, was that they didn’t enslave their people for life, as well as the Dutch. Many of their slaves lives the lives of settlers, they just were required to be laborers, because of their religion. At any time it shows within his text that they could have been released from slavery with the submission of their religio n. The earliest definitions of slavery presented a great amount of problems, which the slave-owners did not agree too. Rhode Island defined slavery as a period of 10 years, and not a lifetime commitment. Christian religious groups would allow other slaves to become converted to their religion to once again regain their freedom. The readily number of slaves were beginning to decline, so now new guidelines would be put in place to ensure that the slave-owners would keep laborers all the time. This part of the 17th century would mark the beginning of when race became the solemn factor of how Africans would become and remain enslaved. This is the shift in African history that everyone would feel and become a part of. Africans held two surprisingly different fates. Those that were released to Latin America had better conditions than those located in North America. But life in North America for Africans would see a dramatic shift as the laws and rules progressed. Slave codes were laws that basically took away all rights of Africans living in North America. This would serve as a permanent handicap for Africans for almost two centuries. Then the colonist took a dramatic horrible step used in the states as well as the colonies. Dehumanizing. This would be the greatest contributor of racism in the United States. This Law passed in Virginia in 1705, would allow English Colonist to treat Africans as property, disregard their feelings or wellbeing, and deny them of basic human rights. And these practices would carry over well into the 20th century.

High Drop Out from School Among Girls in Tanzania Essay Example for Free

High Drop Out from School Among Girls in Tanzania Essay Education enables girls to make their own decisions and to influence their families positively. Education saves and improves the lives of girls and women. It allows them greater control of their lives and provides them with skills to contribute to their societies. UNICEF (2004) report indicates that girls’ education leads to more equitable development, stronger families, better services, better child health and effective participation in governance. Despite the obvious benefits of Education to national development, research findings indicate that girls’ dropout rate from school is higher than that of boys. It observed that Tanzanian girls, for various reasons bordering on religious, cultural, socio-economic and school related factors, are not given a fair chance in the educational sector. In Tanzania, about 7. 3 million children do not go to school, of which 62% are girls (UNICEF 2004). The same UNICEF report indicates that girls’ primary school completion rate is far behind that of boys, at 76% compared with 85% for boys. This gender gap means that millions more girls than boys are dropping out of school each year. This goes to show that the majority of children not in school are girls. Mohammed (2004) equally reported that a girl may be withdrawn from school if a good marriage prospect arises. Early marriage is a sociocultural factor that hinders the girl child’s access to school. Some parents, in an attempt to protect their teenage daughters, give them out to wealthy old friends. Some of these girls who attempt to escape from such forced marriages end up in disaster. Alika and Egbochuku (2009) found that the socio-economic status of the girls imposes considerable constraints upon their continuing stay in school. In fact, they asserted that a girl’s particular socio-economic inheritance may have a direct and important effect on educational attainment. The Problem Education, which is the right of every child, is a mirage in the lives of some Tanzanian girls because some of them are forced into early marriage as from age 12. Poverty has been known to force most parents to withdraw their children from school UNICEF (2004) report indicates that some 121 million children are out of school for various reasons and 65 million of them are girls. With the educational rights of 65 million girls unmet, something should be done to ensure that they complete their education. The same report indicates that Tanzania is one of the 25 developing countries of the world with low enrolment rates for girls, gender gap of more than 10% in primary education and with more than 1 million girls out of school. This is a problem that requires emergency action if the nation is to advance technologically, considering the multiplier and intergenerational benefits derivable in the education of the girl child. It is the aim of this study, therefore, to find out reasons why girls dropout of school in Tanzania and, consequently, based on the findings proffer counselling strategies that could be adopted in order to check the incidence of drop out from school among girls in Tanzania. Research Question  To guide this investigation, one research question will be formulated 1. What are the reasons for high dropping out of school by girls in Tanzania? The descriptive survey design will be adopted for this study. The study sought to determine the reasons for dropping out from school among girls in Tanzania. The population of the study will comprised all girls who dropped out of school and re-enrolled in schools in Tanzania. Four primary schools, four secondary schools and four skill acquisition centres will be used for the study. A stratified random sampling procedure will be adopted in selecting the secondary schools, on the basis of their status i. e. all girls’ schools and all co-educational schools. For the primary schools, the upper primary classes will be used for the study while for the skill acquisition centres, two government skill acquisition centres, one nongovernmental skill centre and one private skill centre will be used for the study. The research instrument used will be a checklist on reasons for dropping out of school.

Nursing Care Plan for Post Operative Knee Pain

Nursing Care Plan for Post Operative Knee Pain EMORY UNIVERSITY NELL HODGSON WOODRUFF SCHOOL OF NURSING NRSG 360 Clinical Nursing I Clinical Work Sheet for Weekly Clinicals OVERVIEW: (Preparation for clinical week 2) Client’s Initials__L.W________ Age 74YRS___Admit Date_11/17/2014____ and/or Procedure Date _11/17/2014________ Today’s Date_11/20/2014________ Medical Diagnosis/Reason for Admission __Post-operative _pain____ Admitting Diagnosis: RIGHT KNEE REVISION Describe (Brief Pathophysiology in your own words, including HPI)__Patient is a 74 years female with right knee revision due to acute post-operative pain came in for surgical consultation due to continued pain and a valgus deformity after having cast removed. She is on hinged knee brace for stability. Allergies: Ancef, Tolectin 600, Cephalosporins Social Hx Patient is a retired pharmacist, married with children. She is alert and oriented x4; uses tobacco before but quitted 20years ago.__________________________________________________________ HOW ARE THE ABOVE ITEMS RELATED? (Preparation Add on by Clinical week 3) Treatments (Accuchecks, dressing changes, PT, OT, RT, activity order, diet, Isolation, I/O) Medications (See Medication Summary) Systematic Concise Summary of Physical Assessment findings (See Checklist for Routine Bedside Assessment) General: (includes vital signs) BP: 119/69, P: 93, T: 73.3, R: 18, SaO2: 95, Pain: 8/10 Neuro: Alert and oriented x4, Pupils dilated and face expression is symmetry. Cardiac: Clear on S1 and S2. No extra heart sounds, murmurs, or ribs. Respiratory: Breathing is unlabored, chest movement is symmetric. Integumentary: (include wounds) Skin is normal, warm and moist, no skin discoloration. Wound dressing on the right knee and right femur edema. GI: Normal bowel sounds hyperactive in all quadrants. GU: Clear yellow urine Musculoskeletal: Active range of motion on upper extremities, impaired range of motion on lower extremities with brace on right leg. Right foot is dissented. Safety Concerns Fall risk, Pressure sore risk. ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ DIAGNOSIS: *Radiology results; lab; micro; orders Pertinent Diagnostic Tests This includes abnormal and significant normal. Test Date Findings/Results Implications/Nursing care X-RAY knee 1or 2 view right 11/17/2014 Degeneration joint disease Revision of the tibia and femoral X-ray chest 1or 2 view 11/12/2014 Cardiomegaly, Tortuous descending aorta, left basilar atelectasis. Surgery Lab Tests with Rationale for Abnormals and Implication of Findings: Name of lab Reference Range Level at Admit Level on Last Lab Nursing Implications Reason for level SS Date Level Date Level Red blood cell count 3.93- 5.22mmol/L 11/17/2014 2.8210E6/mcl 11/20/2014 2.6410E6/mcl Due to Surgery Hemoglobin 11.4-14.4 mmol/L 11/17/2014 7.9gm/dl 11/20/2014 7.4gm/dl Due to Surgery Hematocrit 33.3-41.4 mEq/L 11/17/2014 25.0% 11/20/2014 24.4% Due to Surgery mEq/L mg/dL Nursing Plan of Care Nursing Plan of Care NANDA NURSING DIAGNOSTIC LABEL (Choose #1 priority problem for patient) RELATED FACTORS Secondary to a Disease or Condition DEFINING CHARACTERISTICS* (As evidenced by signs or symptoms) * Remember â€Å"Risk For† Diagnoses do not yet have defining characteristics! Acute pain Related to knee replacement surgery Subjective: As evidence by pain rate of 10/10 Objective: Lower extremity weakness. Nursing Diagnosis Statement: Acute Pain______________________________________________ PATIENT EXPECTED OUTCOMES/GOALS (Specific, Measurable, Achievable, Realistic, Timely) PLANNED NURSING INTERVENTIONS RATIONALE EVALUATION (Not Met, Partially Met or Met) Patient Goal Patient will indicate pain level decrease to less than 5/10 Your Intervention: Administer pain medication Evaluation of Goal Goal partially met, Patient pain level was managed to a level of 6/10. Your Intervention: Facilitate Rest Your Intervention: Provide relaxation and guided imagery. Nursing Plan of Care Nursing Diagnosis Statement_____Ineffective coping ______________________________________________ NANDA NURSING DIAGNOSTIC LABEL (Choose #1 priority problem for patient) RELATED FACTORS Secondary to a Disease or Condition DEFINING CHARACTERISTICS* (As evidenced by signs or symptoms) Ineffective coping Related to pain due to ineffective function Subjective: patient report of anxiety Objective: patient appears withdrawn PATIENT EXPECTED OUTCOMES/GOALS (Specific, Measurable, Achievable, Realistic, Timely) PLANNED NURSING INTERVENTIONS RATIONALE EVALUATION (Not Met, Partially Met or Met) In patient terms only, summarize response to intervention Patient Goal (may have several) Patient will learn two coping skills Your Intervention: Encourage family support Evaluation of Goal Goal met, patient was able to relax by listening to , and daughter was there to give a moral support Your Intervention: Administer antidepressant /antianxiety medication Your Intervention: Involve relaxation therapy Nursing Plan of Care Nursing Diagnosis Statement: Risk for ineffective peripheral tissue perfusion. NANDA NURSING DIAGNOSTIC LABEL (Choose #1 priority problem for patient) RELATED FACTORS Secondary to a Disease or Condition DEFINING CHARACTERISTICS* (As evidenced by signs or symptoms) Risk for ineffective peripheral tissue perfusion. Related to coagulating factors released by bone during surgery. Subjective: Objective: PATIENT EXPECTED OUTCOMES/GOALS (Specific, Measurable, Achievable, Realistic, Timely) PLANNED NURSING INTERVENTIONS RATIONALE EVALUATION (Not Met, Partially Met or Met) In patient terms only, summarize response to intervention Patient Goal (may have several) Prevent clotting Your Intervention: Give anticoagulant medication Evaluation of Goal Goal met, Your Intervention: Encourage ambulation Your Intervention: Give compression stockings Nursing Plan of Care Nursing Diagnosis Statement: Risk for fall _________________________________________________ NANDA NURSING DIAGNOSTIC LABEL (Choose #1 priority problem for patient) RELATED FACTORS Secondary to a Disease or Condition DEFINING CHARACTERISTICS* (As evidenced by signs or symptoms) Risk for fall Related to lower extremity weakness Subjective: Objective: PATIENT EXPECTED OUTCOMES/GOALS (Specific, Measurable, Achievable, Realistic, Timely) PLANNED NURSING INTERVENTIONS RATIONALE EVALUATION (Not Met, Partially Met or Met) In patient terms only, summarize response to intervention Patient Goal (may have several) Prevent patient from falling Your Intervention: Assist with ambulation Evaluation of Goal Met, patient was able to ambulate to bedside Commode. Your Intervention: Make sure bed is in low position with the rails at the top of the bed up Your Intervention: Involve physical therapy References for your entire clinical worksheet: Ruth F. Craven, Constance J. Hirnle, Sharon Jensen, (2013) Fundamental of nursing: human health and function, (7th Ed). Philadelphia, PA: Lippincott Williams Wilkins Inc. Gulianick, M. and Myers, J. (2003). Nursing Care Plans: Nursing Diagnosis and Interventions. Mosby: St Louis Pearson Education http://wps.prenhall.com/ Nursing Central (200-2014) Using web sources in writing, Retrieved from http://www.unboundmedicine.com/ Schedule: *Pt Care Summary; Med list; Pt schedule; task list 7am Visit with patient and getting report from night shift staff. 8am Perform vital signs 9am Giving medication 10am Assist with morning care, mouth care, assist with bath. 11am Head to toe Assessment 12pm Assist to bathroom, Accu-check. State1 personal learning goal for this clinical day: ________Be able to give IV push and make my patient more comfortable. _________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ Did you meet your personal goal for the day? _____________________________________________Goal Met, I was able to give IV push of 5% dextrose to my patient after noticing low level of glucose. _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Checklist for Routine Bedside Nursing Assessment Mental/Neuro Status LOC Alertness/Orientation PERRLA Mood Behavior Check Patient ID Band Cardiopulmonary Heart Sounds Apical Rate/rhythm Lung sounds Breathing pattern Peripheral pulses Edema Capillary refill Hemodialysis Access – Graft/Fistula – bruit/thrill Oxygen Equipment Vital Signs BP P R Temp Pain SaO2 Gastrointestinal Bowel sounds Abdominal palpation Degree of ABD distension Bowel elimination problems (diarrhea/constipation/flatulence) Nausea/vomiting Genitourinary I O (quantity) Quality (color, clarity, burning) Continence/incontinence (Assistive devices) Reproductive problems/sexual concerns Motor Sensory Function ROM Paralysis Weakness_______________________________________________________________________________________________________________________________/Numbness/Tingling Assistive Devices Ambulation Wound Cleanliness Swelling/redness.infection Drainage Bandage dressing Integumentary Color Temp Turgor Moisture Integrity Braden Scale Score (Mon, Thurs: rescore at EUH) Invasive Tubes (IV’s, NGT, Wound drains, Catheters, etc..) Device and location IV Line(s): Fluids, Meds, Date of insertion/dressing/tubing Patency and position Redness, swelling, tenderness at site Drainage/Infusion rate Modified by Erin Poe Ferranti, 2005, 2007; Corrine Abraham, 2007 Adapted From: Elkin, Potter Perry (2004) Nursing Interventions Clinical Skills (3rd ed.) Mosby: St. Louis Medications MAR; MAR Summary: Medication Profile* Medication: Name/Dose/Route Time Classification Purpose Side Effects/Nursing Considerations OxyCODONE(10mg=1tab) 1 tablet PO 9:00 am Opioid analgesics Reduce pain Respiratory Depression May cause drowsiness Exenatide (10mcg injection) 1 each BID PRN Antidiabetics Lower blood sugar Pancreatitis, weakness Insulin aspart (BG > 150) (BG -100) /40= unit Antidiabetics Lower blood sugar Anaphylaxis, hypoglycemia Atorvastin (liptor) 20mg=1 tab, 1 tablet PO 9:00 am Antilipidemia Reduce Cholesterol level Chest pain, Rhabdomyolysis BuPRion 300mg=1tab 1tablet PO 9:00 am Antidepressant Treatment for depression Seizure, anxiety, dry mouth, depression ClonazePAM (0.5mg=1tab) 1mg=2tablets PO 9:00 am Anticonvulsant Prevention of seizure Fatigue, constipation, suicidal thought Docusate sodium (100mg=1cap) 1capsule PO 9:00 am laxative Prevent constipation Mild cramps, diarrhea, rashes Enoxaparin 30mg =0.3ml subq 9:00 am anticoagulant Blood thinner Constipation, urinary retention Levothyroxine (25mcg=1tab) 1tablet PO 7:00 am hormonal Treatment for hypothyroidism Tachycardia. Abdominal cramps Alprazolam (0.25mg=1tab) 9:00 am antianxiety Relief of anxiety Constipation, blurred vision Venlafaxine (75mg=1cap )150mg= 2capsule PRN Antidepressant antianxiety Decrease depression, anxiety and panic attack Chest pain, anorexia, itching, epistaxis Hydrocodone (10mg-1tab) 1tablet PO 9:00 am opioid Decrease pain Respiratory depression, apnea, anaphylaxis