The purpose of this article is to consider the basic tenets of Orem's Self-Care Deficit Nursing Theory in application to children with special health care needs as an aggregate in a larger community. The cases of Javon and Elizabeth are revisited and evaluated within the context of community. Orem's concept of conditioning factors is linked with the public health concepts of social determinants of health; and her concept of universal self-care requisites are interpreted within the context of the World Health Organization's definition of health. Finally, the concept of intersectionality is introduced as a linking framework for consideration of these concepts in relationship to vulnerable individuals and populations.
- children with special health care needs,
- school health
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