Signed. "The former first lady presents a practical handbook on how to care at home for people with chronic health problems, addressing the social issues that have created a crisis in caregiving and offering practical solutions to the problems." Third printing. Dust jacket unclipped. Some rubbing on fore edge of jacket on both boards. Eggshell white cloth over white boards, quarter-bound, with silver gilt title on spine. Rosalyn Carter's signature in green ink on title page.