Comes with no media in a plastic binder. Wear on the edges. Shipped the next business day! We own a small family book store and sell our extra books and media that have been on our shelfs for too long. We sell them for a quarter of the price at our store so we can move our inventory! Additional Details ------------------------------ Product description: The Eighth Edition of Medcom's The New Nursing Assistant Textbook has been revised and updated with the most current information, yet maintains the familiarity and ease of use appreciated by both nursing assistant instructors and nursing assistant students. Throughout the book, revisions have been made to update statistics, measurements, practice techniques, regulations, professional guidelines, terminology, and new technologies, such as advances in computers and internet use. This new information continues to be presented in a clear and concise style, using simple language that is easy for students at all levels to comprehend.