Description of disease : Sickle cell disease is an inherited autosomal recessive disorder affecting the red blood cells. Normal red blood cells contain hemoglobin A. People with sickle cell disease have red blood cells containing mostly hemoglobin S, an abnormal type of hemoglobin. These red blood cells become sickle-shaped (crescent-shaped), and have difficulty passing through small blood vessels. There are several different types of sickle cell disease; the most common types are homozygous sickle cell disease (SS disease), and sickle-cell beta thalassemia (Sß + or Sß 0 disease) (Fisher, 2016). Symptom: Symptoms start during the first year of life, usually around 5 months of age. Symptoms and complications of SCD are different for each person and can range from mild to severe. Pain during a sickle cell crisis can happen anywhere in the body, such as the arms, legs, joints, back, or chest. It can come on suddenly and be mild or severe. The pain can last