As my mom has gotten older, her hands limit what she can do in the kitchen and in the garden. One of the tools that can help is a pair of ratchet pruners. I have seen some at the MN State Fair, but when it isn’t fair time and I need a pair for a gift, I turn to Cutco or Gardener’s Supply for ratchet pruners.
The way ratchet pruners work is by squeezing the handles several times. They require very little strength, just a repeated squeezing motion. Each time you squeeze they cut a little further, until you have cut through a branch or stem. If you don’t have a great deal of hand strength, or have hand pain, they are just the ticket to continue being able to cut and prune thicker branches in your garden.