Describe some long-term care trends that have resulted in older persons obtaining care outside of nursing facilities. What social and policy variables have had an impact on these shifts? Discuss the possibilities with a client who does not want to move to retirement living and instead desires to stay in the spacious, mortgage-free home she has lived in for 40 years but is no longer able to maintain. What are some of the possibilities for this client? Consider the pros and cons of these solutions in light of a variety of socioeconomic considerations.

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