When the patient is sent home, the goal is to prevent readmission to the hospital due to complications of SCD. Sammy’s poor decisions leading up to this ER admission and past medical history should be discussed in detail with the patient. The nurse should also address possible triggers of a sickle cell crisis with the patient. (Reddin et al., 2011). In Sammy’s case, discarding lunches and drinks at school significantly contributed to being dehydrated making this one of his triggers. Another trigger for Sammy was being outside in cold temperatures without a jacket. Sammy should also be reminded not to ignore the sign and symptoms of being ill such as a fever, nausea, and diarrhea. Because most SCD patients always have some degree of pain, Sammy