In Vietnam, for a long time, family is considered as being significant for economic, instrumental, social, emotional, and care support for older adults due to strong filial piety, high family values, low institutional coverage, and limited social services, given that the majority of older adults are living in family-based communities. Recently, due to increasing migration, nuclearization, and individualization in Vietnamese families, there is an increasing withdrawal of family caregivers from caregiving to their parents and there seems to be confusion and tension of roles and supports among family members. Meanwhile, Vietnam is observing changes in demographics and family structure, which is linked to an increase in the number of elders in need of care, drop in fertility rate, resulting in a shrinking supply of family caregivers. This article examines the economic dynamics of ageing with limited family ties by examining the formal care services and demographic changes in order to investigate raising social problems towards elder population. It also explores how older adults from varied living backgrounds in Vietnam restructure their lives in terms of acculturation, re-establishing kin networks, psychological well-being in contemporary Vietnam. It demonstrates how Vietnamese elders actively engage in unpaid work within family and community environments, such as housework and childcare, shaped by cultural norms of familialism and filial piety, with regional variations in the north emphasizing stronger familialism and economic motives, and the central coast showing more individualism and sentimental values.