To enable elderly people to live independently in their homes, the government aims to de-institutionalize elderly care services by upscaling home care services and care housing and downscaling long-term stays at nursing homes. Increasing use of assistive technologies will play a significant role in the ongoing transformation of care services, however our empirical data shows how difficult appropriation and use of technology are for elderly end-users. In this paper, we suggest a comprehensive elderly care trajectory model that includes the collaborative work of self-care, formal care, informal care and technology. We build our trajectory on empirical studies of elderly people using assistive technology in a care housing and in nursing homes, in addition to Corbin and Strauss’ classic work. Our proposal of an elderly care trajectory fits with the municipal care staircase, but challenges its minimalist service level focus, as well as its late and limited introduction of technology.