Living abroad while my parents are getting older in Pakistan and it's been weighing on me. Looking for honest advice from people in the same boat. I imagine people would be in similar situation even if you're not from Pakistan so any advice or sharing your experience would be helpful too.

Both my parents are back home, over 60 years old. They've got a bunch of health stuff going on between them and the distance makes it harder to be on top of those things. Feel like they were dependent on us (me and my siblings) for some of the necessary things. Tech-wise, WhatsApp is pretty much the ceiling. I don't expect them to know or learn looking up an address on Google Maps, finding a restaurant's number, ordering on Foodpanda (food delivery app). We have relatives around but everyone's got their own life and I don't want to be the guy constantly asking for favors (although I will when it comes to my parents).

A few things I'm trying to figure out:

1. How do you actually stay on top of their health from thousands of miles away? Any routine or system that works?
2. How much do you lean on extended family vs paying for help (attendants, drivers, part-time nurses)? What's realistic without getting taken for a ride?
3. Anyone hired a local check-in person or service that actually delivered?
4. What about other dependencies like order from a new place or going out for parents? I feel like they also don't want to be dependent completely and think a few times before saying anything.

Not looking for "just move back" answers. Just want to know what's actually working, if anything, for people in the same boat.