RT Book, Section A1 Goodman, Catherine A1 Helgeson, Kevin SR Print(0) ID 1133952304 T1 Sickle Cell Disease T2 Exercise Prescription for Medical Conditions: Handbook for Physical Therapists YR 2011 FD 2011 PB McGraw-Hill Education PP New York, NY SN 9780803617148 LK fadavispt.mhmedical.com/content.aspx?aid=1133952304 RD 2024/04/19 AB This disease is a group of inherited disorders that produces an abnormal type of hemoglobin that causes red blood cells to take on a sickle shape during deoxygenation. Sickling of red blood cells leads to lysis that results in anemia and vaso-occlusion. Sickled red blood cells form clots in organs, joints, and bones that produce painful episodes or crises. Sickle cell episodes can lead to damage to the spleen, with anemia leading to infections and systemic complications. Clients may have frequent crises that require ongoing medical management and complications. Infants are routinely screened for this disease. Clients are counseled to control their activities and stressors that may trigger a crises episode. Daily activities are difficult to complete if a client with sickle cell disease has chronic anemia.1,2