Jamal is a 12-year-old male, diagnosed with sickle cell anemia at birth. Regularly visits the pediatric clinic for follow-up care and management of his condition. Jamal is brought to the pediatric clinic by his mother with complaints of increasing fatigue, shortness of breath, and generalized weakness over the past week. His mother reports that Jamal has been experiencing intermittent episodes of pain in his abdomen and joints. She also mentions that Jamal's school performance has declined recently, and he has been missing more days due to illness. 19. Define sickle cell anemia. 20. What are the common symptoms of Sickle Cell Anemia? List 4 21. What complications can arise from Sickle Cell Anemia? List 4 22. What nursing interventions are recommended for managing sickle cell anemia? List 3 23. What patient education is essential for managing Sickle Cell Anemia? List 3