Describe some trends in long-term care that have resulted in older people receiving services in settings other than nursing homes. What societal and policy factors have influenced these changes? Discuss the options for a client who does not wish to move to retirement housing but prefers to stay in the large, mortgage‑free home in which she has lived for 40 years but can no longer maintain. What might be some options available to this client? Consider these options in light of varying socioeconomic factors.