Nursing Critically Ill Patients Confidently by Springhouse (19847, HC) Book is in very good condition. The covers and spine have minor wear, have scratches/scuffs/marks/dirty, and some of the corners/edges are dented and worn down to cardboard. The inside looks good. I’ll be happy to combine shipping on items as long as they are in the same order. Please let me know if you have any questions, and have a CRAZY day!