INTRODUCTION: “Pain” sudden or chronic, lasting from a few hours to a few days; from a few weeks to a few months evolving from an adhesive substance in red blood cells. The “Pain” is inherited by an retriction blood flow through the body do to an abnormality in the cells. “Sickle Cell Anemia” a chronic illness discovered in 1910 by an American physician named James Bryan Herrick. Sickle Cell is more that just pain; it is a disease that is affected by abnormal blood cells that has an adhesive formation causing the natural flow to be compromised. As a result, these abnormal cells become fixed in the blood stream and not flowing to major body organs causing extreme pain and even a stroke. Why is this process painful? Have sickle cell patient become tolerant to pain or is it because some of them handle self-care management? For many years there has been a link between Sickle Cell Anemia and Pain caused by the stickiness of the blood cells. When this occurs, it decreases normal blood flow to the major organs causing strokes.(citation ). Sickle cell anemia is most common in people whose families come from Africa, South or Central America (especially Panama), Caribbean islands, Mediterranean countries (such as Turkey, Greece, and Italy), India, and Saudi Arabia. In the United States, it's estimated that sickle cell anemia affects 70,000–100,000 people, mainly African Americans. The disease occurs in about 1 out of every 500 African American births. Sickle cell anemia also affects Hispanic Americans. The disease occurs in more than 1 out of every 36,000 Hispanic American births (Citation).More than 2 million Americans have sickle cell trait. The condition occurs in about 1 in 12 African Americans. In people with sickle cell disease, approximately 50% do not survive beyond age 20 years, and most people do not live past 50 years of age (Citation)…