The document summarizes a thesis that developed a conceptual model and risk assessment approach to characterize the cumulative risks of multiple stressors like temperature, salinity, hypoxia and hypercapnia on the physiological functions and vulnerability of Eastern Oysters in the James River, Virginia. It describes the background, methods used including developing a Monte-Carlo simulation model in Crystal Ball, results showing salinity was the most influential factor, and limitations of traditional risk assessment in accounting for multiple stressors.