Optimieren Sie Ihre Suche

  • Bücher (45)

bis

Benutzerdefinierte Preisspanne (EUR)

bis

Carcio helen (45 Ergebnisse)

Autor: 
Mit der Detailsuche verfeinern
  • Sprache: Englisch

    Verlag: Springer Publishing Co Inc, 2010

    0826124267 / 9780826124265

    • Softcover

    Anbieter: World of Books (was SecondSale), Montgomery, IL, USAWorld of Books (was SecondSale)

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Befriedigend

    EUR 6,22

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Good. This is the only truly comprehensive advanced text for the assessment of women?s health, written for such primary care providers as nurse practitioners, physician assistants, and certified nurse?midwives. It encompasses both foundational and cutting-edge physical and psychosocial information in a clear and concise outline format, and is unique in its presentation of more advanced techniques and procedures not addressed in standard graduate assessment texts. Keeping pace with the expanding scope of advanced practice, the third edition provides several completely new chapters authored by renowned specialists, expanded chapters, and updates. This includes new information on contraception, domestic violence, health history of special populations, lesbian health, evaluation of the pelvic floor, aging and menopause, bleeding irregularities, infertility, skin aesthetics, pelvic pain, and health guidelines.With an integrated approach to treatment, the authors delineate the expanded roles of advanced health care providers, including guidance for situations when a practitioner must decide whether to act independently, co-manage, consult, or refer. The authors provide in-depth descriptions enhanced by plentiful tables and figures of each assessment skill and technique along with its underlying rationale. Basic techniques are augmented by the inclusion of possible alterations for a particular procedure.On a continuum from simple to complex, the text is divided into 11 units that cover basic women?s health assessment down to the cellular level, health history, prenatal assessment, investigative procedures including sonohysteroscopy and simple cystometrogram, and several chapters on specific women?s health concerns. A special chapter on urinary incontinence includes diagnosis of bladder dysfunction. Sample assessment forms are integrated throughout, as are comprehensive lists of equipment required for each procedure along with information on patient preparation and follow-up.New to the Third Edition: Updated assessment guidelinesNew chapters on lesbian health, dysfunctional uterine bleeding, polycystic ovarian syndrome, skin aesthetics, and pelvic painInformation on new contraception devicesNew information on domestic violence, health history of special populations, and vaginal microscopyCervical cancer screening, menopause assessment, and osteoporosis screeningExpanded information on evaluation of the pelvic floorExpanded information on aging and menopauseUpdates on infertility and information on BRCA gene testingKey Features: Provides detailed descriptions of advanced assessment techniques enhanced with plentiful tables and figuresPresents the rationale for all assessments and proceduresDelineates clinical procedures on the leading edge of the expanded role of the advanced practice clinicianIncludes unique chapters about selection and insertion of the vaginal pessary, intrauterine insemination procedure, and donor inseminationCovers such advanced skills as vulvar exam and biopsy, endometrial biopsy, acrochordonectomy, polypectomy, and colposcopy.…

  • Sprache: Englisch

    Verlag: Springer Publishing Company, 2010

    0826124267 / 9780826124265

    • Softcover

    Anbieter: ThriftBooks-Atlanta, AUSTELL, GA, USAThriftBooks-Atlanta

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Gut

    EUR 6,23

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Very Good. No Jacket. May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less.

  • Sprache: Englisch

    Verlag: Springer Publishing Company, 2014

    0826123082 / 9780826123084

    • Softcover

    Anbieter: ThriftBooks-Dallas, Dallas, TX, USAThriftBooks-Dallas

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Gut

    EUR 7,63

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Very Good. No Jacket. Former library book; May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less.

  • Sprache: Englisch

    Verlag: Springer Publishing Company, 2014

    0826123082 / 9780826123084

    • Softcover

    Anbieter: ThriftBooks-Reno, Reno, NV, USAThriftBooks-Reno

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Befriedigend

    EUR 7,63

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Good. No Jacket. Pages can have notes/highlighting. Spine may show signs of wear. ~ ThriftBooks: Read More, Spend Less.

  • Sprache: Englisch

    Verlag: Springer Publishing Company, 2014

    0826123082 / 9780826123084

    • Softcover

    Anbieter: ThriftBooks-Phoenix, Phoenix, AZ, USAThriftBooks-Phoenix

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Gut

    EUR 7,63

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Very Good. No Jacket. May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less.

  • Sprache: Englisch

    Verlag: Springer Publishing Company, 2014

    0826123082 / 9780826123084

    • Softcover

    Anbieter: ThriftBooks-Atlanta, AUSTELL, GA, USAThriftBooks-Atlanta

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Befriedigend

    EUR 7,63

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Good. No Jacket. Pages can have notes/highlighting. Spine may show signs of wear. ~ ThriftBooks: Read More, Spend Less.

  • Sprache: Englisch

    Verlag: Springer Publishing Company, 2014

    0826123082 / 9780826123084

    • Softcover

    Anbieter: ThriftBooks-Dallas, Dallas, TX, USAThriftBooks-Dallas

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Befriedigend

    EUR 7,63

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Good. No Jacket. Pages can have notes/highlighting. Spine may show signs of wear. ~ ThriftBooks: Read More, Spend Less.

  • Sprache: Englisch

    Verlag: Springer Publishing Company, 2014

    0826123082 / 9780826123084

    • Softcover

    Anbieter: ThriftBooks-Atlanta, AUSTELL, GA, USAThriftBooks-Atlanta

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Gut

    EUR 7,63

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Very Good. No Jacket. May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less.

  • Sprache: Englisch

    Verlag: Springer Publishing Company, 2014

    0826123082 / 9780826123084

    • Softcover

    Anbieter: ThriftBooks-Dallas, Dallas, TX, USAThriftBooks-Dallas

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Gut

    EUR 7,63

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Very Good. No Jacket. May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less.

  • Sprache: Englisch

    Verlag: Springer Publishing Co Inc, 2010

    0826124267 / 9780826124265

    • Softcover

    Anbieter: World of Books Inc, Montgomery, IL, USAWorld of Books Inc

    Verkäufer/-in mit 4 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Befriedigend

    EUR 8,07

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Good. This is the only truly comprehensive advanced text for the assessment of women?s health, written for such primary care providers as nurse practitioners, physician assistants, and certified nurse?midwives. It encompasses both foundational and cutting-edge physical and psychosocial information in a clear and concise outline format, and is unique in its presentation of more advanced techniques and procedures not addressed in standard graduate assessment texts. Keeping pace with the expanding scope of advanced practice, the third edition provides several completely new chapters authored by renowned specialists, expanded chapters, and updates. This includes new information on contraception, domestic violence, health history of special populations, lesbian health, evaluation of the pelvic floor, aging and menopause, bleeding irregularities, infertility, skin aesthetics, pelvic pain, and health guidelines.With an integrated approach to treatment, the authors delineate the expanded roles of advanced health care providers, including guidance for situations when a practitioner must decide whether to act independently, co-manage, consult, or refer. The authors provide in-depth descriptions enhanced by plentiful tables and figures of each assessment skill and technique along with its underlying rationale. Basic techniques are augmented by the inclusion of possible alterations for a particular procedure.On a continuum from simple to complex, the text is divided into 11 units that cover basic women?s health assessment down to the cellular level, health history, prenatal assessment, investigative procedures including sonohysteroscopy and simple cystometrogram, and several chapters on specific women?s health concerns. A special chapter on urinary incontinence includes diagnosis of bladder dysfunction. Sample assessment forms are integrated throughout, as are comprehensive lists of equipment required for each procedure along with information on patient preparation and follow-up.New to the Third Edition: Updated assessment guidelinesNew chapters on lesbian health, dysfunctional uterine bleeding, polycystic ovarian syndrome, skin aesthetics, and pelvic painInformation on new contraception devicesNew information on domestic violence, health history of special populations, and vaginal microscopyCervical cancer screening, menopause assessment, and osteoporosis screeningExpanded information on evaluation of the pelvic floorExpanded information on aging and menopauseUpdates on infertility and information on BRCA gene testingKey Features: Provides detailed descriptions of advanced assessment techniques enhanced with plentiful tables and figuresPresents the rationale for all assessments and proceduresDelineates clinical procedures on the leading edge of the expanded role of the advanced practice clinicianIncludes unique chapters about selection and insertion of the vaginal pessary, intrauterine insemination procedure, and donor inseminationCovers such advanced skills as vulvar exam and biopsy, endometrial biopsy, acrochordonectomy, polypectomy, and colposcopy.…

  • Sprache: Englisch

    Verlag: Springer Publishing Company, 2014

    0826123082 / 9780826123084

    • Softcover

    Anbieter: HPB-Red, Dallas, TX, USAHPB-Red

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Befriedigend

    EUR 4,62

    EUR 3,36 Versand 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Good. Connecting readers with great books since 1972! Used textbooks may not include companion materials such as access codes, etc. May have some wear or writing/highlighting. We ship orders daily and Customer Service is our top priority.

  • Sprache: Englisch

    Verlag: Lippincott Williams & Wilkins, 2002

    078172337X / 9780781723374

    • Softcover

    Anbieter: ThriftBooks-Dallas, Dallas, TX, USAThriftBooks-Dallas

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Gut

    EUR 8,20

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Very Good. No Jacket. May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less.

  • Sprache: Englisch

    Verlag: Lippincott Williams & Wilkins, 2002

    078172337X / 9780781723374

    • Softcover

    Anbieter: ThriftBooks-Dallas, Dallas, TX, USAThriftBooks-Dallas

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Gut

    EUR 8,20

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Very Good. No Jacket. Former library book; May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less.

  • Sprache: Englisch

    Verlag: Lippincott Williams & Wilkins, 2002

    078172337X / 9780781723374

    • Softcover

    Anbieter: ThriftBooks-Atlanta, AUSTELL, GA, USAThriftBooks-Atlanta

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Befriedigend

    EUR 8,20

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Good. No Jacket. Pages can have notes/highlighting. Spine may show signs of wear. ~ ThriftBooks: Read More, Spend Less.

  • Sprache: Englisch

    Verlag: Lippincott Williams & Wilkins, 2002

    078172337X / 9780781723374

    • Softcover

    Anbieter: ThriftBooks-Atlanta, AUSTELL, GA, USAThriftBooks-Atlanta

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Gut

    EUR 8,20

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Very Good. No Jacket. May have limited writing in cover pages. Pages are unmarked. ~ ThriftBooks: Read More, Spend Less.

  • Sprache: Englisch

    Verlag: Springer Publishing Company, 2014

    0826123082 / 9780826123084

    • Softcover

    Anbieter: Goodwill Northern Illinois, Rockford, IL, USAGoodwill Northern Illinois

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Befriedigend

    EUR 9,21

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Zustand: good. The cover shows wear with possible indentations, creases, and small tears. The pages show wear that may include evidence of handling, smudges, and edge discoloration markings stains . The book may or may not have mild corner dings. The imagery is a stock photo of the item.

  • Sprache: Englisch

    Verlag: Lippincott Williams & Wilkins, 2002

    078172337X / 9780781723374

    • Softcover

    Anbieter: -OnTimeBooks-, Phoenix, AZ, USA-OnTimeBooks-

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Befriedigend

    EUR 10,10

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 4 verfügbar

    Zustand: good. A copy that has been read, remains in good condition. All pages are intact, and the cover is intact. The spine and cover show signs of wear. Pages can include notes and highlighting and show signs of wear, and the copy can include "From the library of" labels or previous owner inscriptions. 100% GUARANTEE! Shipped with delivery confirmation, if you're not satisfied with purchase please return item! Ships via media mail.…

  • Sprache: Englisch

    Verlag: Lippincott Williams and Wilkins, 1999

    0781718260 / 9780781718264

    • Softcover

    Anbieter: World of Books (was SecondSale), Montgomery, IL, USAWorld of Books (was SecondSale)

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Befriedigend

    EUR 13,14

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Good. Nurses, nurse practitioners, certified nurse-midwives, and graduate students in advanced nursing programs will all benefit from this essential book! Thorough yet to-the-point, this assessment, skills and procedures manual provides guidance for healthcare professionals. The first part of the book addresses and explains advanced health assessment techniques related specifically to women. The second part covers advanced technical skills, including vulvar and endometrial biopsy, pessary insertion, and insertion of contraceptive devices like the diaphragm, Norplant and IUD. Portable and easy to access, the book covers every important aspect of advanced health assessment, from anatomy and physiology to self-help protocols and screening recommendations.…

  • Sprache: Englisch

    Verlag: Springer Publishing Company, 2014

    0826123082 / 9780826123084

    • Softcover

    Anbieter: Textbook Bookie, Little Rock, AR, USATextbook Bookie

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Ausreichend

    EUR 9,22

    EUR 3,81 Versand 
    Versand innerhalb von USA

    Anzahl: 3 verfügbar

    Paperback. Zustand: Fair. Book in Fair condition.

  • Sprache: Englisch

    Verlag: Lippincott Williams & Wilkins, 1999

    0781718260 / 9780781718264

    • Softcover

    Anbieter: Textbook Bookie, Little Rock, AR, USATextbook Bookie

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Befriedigend

    EUR 9,22

    EUR 3,81 Versand 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    No binding. Zustand: Good. Book in Good condition.

  • Sprache: Englisch

    Verlag: Lippincott Williams & Wilkins, 1998

    0781710448 / 9780781710442

    • Softcover

    Anbieter: ThriftBooks-Dallas, Dallas, TX, USAThriftBooks-Dallas

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Ausreichend

    EUR 14,84

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Fair. No Jacket. Former library book; Readable copy. Pages may have considerable notes/highlighting. ~ ThriftBooks: Read More, Spend Less.

  • Sprache: Englisch

    Verlag: Lippincott Williams and Wilkins, 1999

    0781718260 / 9780781718264

    • Softcover

    Anbieter: World of Books Inc, Montgomery, IL, USAWorld of Books Inc

    Verkäufer/-in mit 4 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Befriedigend

    EUR 14,98

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Good. Nurses, nurse practitioners, certified nurse-midwives, and graduate students in advanced nursing programs will all benefit from this essential book! Thorough yet to-the-point, this assessment, skills and procedures manual provides guidance for healthcare professionals. The first part of the book addresses and explains advanced health assessment techniques related specifically to women. The second part covers advanced technical skills, including vulvar and endometrial biopsy, pessary insertion, and insertion of contraceptive devices like the diaphragm, Norplant and IUD. Portable and easy to access, the book covers every important aspect of advanced health assessment, from anatomy and physiology to self-help protocols and screening recommendations.…

  • Sprache: Englisch

    Verlag: Lippincott Williams & Wilkins, 1998

    0781710448 / 9780781710442

    • Softcover

    Anbieter: HPB-Red, Dallas, TX, USAHPB-Red

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Befriedigend

    EUR 12,57

    EUR 3,36 Versand 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    paperback. Zustand: Good. Connecting readers with great books since 1972! Used textbooks may not include companion materials such as access codes, etc. May have some wear or writing/highlighting. We ship orders daily and Customer Service is our top priority.

  • Sprache: Englisch

    Verlag: Lippincott Williams & Wilkins, 1998

    0781710448 / 9780781710442

    • Softcover

    Anbieter: Swan Trading Company, GEORGETOWN, TX, USASwan Trading Company

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Befriedigend

    EUR 17,40

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    paperback. Zustand: Good. This softcover is an ex-library with typical marks; else, very good. Binding is tight. Covers clean. Pages appear bright and unmarked. Ships FAST! Bringing good books to happy readers since 2002.

  • Sprache: Englisch

    Verlag: Springer Publishing Company, 2014

    0826123082 / 9780826123084

    • Softcover

    Anbieter: Shakespeare Book House, Rockford, IL, USAShakespeare Book House

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Neu

    EUR 18,14

    EUR 3,58 Versand 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Zustand: new.

  • Sprache: Englisch

    Verlag: Springer Publishing Company, 2010

    0826124267 / 9780826124265

    • Softcover

    Anbieter: HPB-Ruby, Dallas, TX, USAHPB-Ruby

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Gut

    EUR 18,46

    EUR 3,36 Versand 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    paperback. Zustand: Very Good. Connecting readers with great books since 1972! Used books may not include companion materials, and may have some shelf wear or limited writing. We ship orders daily and Customer Service is our top priority.

  • Sprache: Englisch

    Verlag: Springer Publishing Co Inc, 2018

    0826124240 / 9780826124241

    • Softcover

    Anbieter: World of Books (was SecondSale), Montgomery, IL, USAWorld of Books (was SecondSale)

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Gut

    EUR 23,34

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 2 verfügbar

    Paperback. Zustand: Very Good. Written for nurse practitioners, physician assistants, nurse midwives, and other primary care providers, this new edition delivers the clinical skills required to care for the unique healthcare needs of women. This text delves into the growing role of the advanced practice clinician, establishing a foundation for and an understanding of the rationale behind the techniques and procedures described.…

  • Sprache: Englisch

    Verlag: Springer Publishing Company (edition Fourth), 2018

    0826124240 / 9780826124241

    • Softcover

    Anbieter: BooksRun, Philadelphia, PA, USABooksRun

    Verkäufer/-in mit 5 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Ausreichend

    EUR 23,35

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Fair. Fourth. The item might be beaten up but readable. May contain markings or highlighting, as well as stains, bent corners, or any other major defect, but the text is not obscured in any way.

  • Sprache: Englisch

    Verlag: Springer Publishing Co Inc, 2018

    0826124240 / 9780826124241

    • Softcover

    Anbieter: World of Books Inc, Montgomery, IL, USAWorld of Books Inc

    Verkäufer/-in mit 4 Sternen
    Verkäufer/-in kontaktieren

    Zustand: Gebraucht - Gut

    EUR 25,18

     Versand gratis 
    Versand innerhalb von USA

    Anzahl: 2 verfügbar

    Paperback. Zustand: Very Good. Written for nurse practitioners, physician assistants, nurse midwives, and other primary care providers, this new edition delivers the clinical skills required to care for the unique healthcare needs of women. This text delves into the growing role of the advanced practice clinician, establishing a foundation for and an understanding of the rationale behind the techniques and procedures described.…

  • Zustand: Gebraucht - Befriedigend

    EUR 21,89

    EUR 3,36 Versand 
    Versand innerhalb von USA

    Anzahl: 1 verfügbar

    Paperback. Zustand: Good. Connecting readers with great books since 1972! Used textbooks may not include companion materials such as access codes, etc. May have some wear or writing/highlighting. We ship orders daily and Customer Service is our top priority.