Abstract
Aging in Nepal is leading to an increased need for support and care for older adults, which puts pressure on families and society. Traditionally, intergenerational care for the old within the family was widely taken for granted. However, this is not guaranteed anymore. Demographic change, migration dynamics, and socioeconomic change have affected family residential patterns and structures, changed family roles, and the capacity of families to meet the care needs of their older members. The living conditions of older people have changed, roles and responsibilities are rearranged and redistributed, and ways of living have been transformed. Demographic, migration, and sociocultural changes interact to produce family structure and functional changes. This chapter describes this interactive dynamic and its effects on the family. While the family as a social institution has not crumbled, the transforming external conditions have significantly altered its institutional context.