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Take a look at the tip up barrel Berettas, the Cheetah in 380 & 32 model 86 and 81 respectively if my memory is correct, are world class pistols.

They may be a little large to meet your compact criteria, however.

An alternative is the Tom Cat in 32, very compact, if you can live with a 32 ACP.

Tip up auto pistols make a lot of sense for folks with hand strength and dexterity challenges.

And truthfully there isn't that much difference between a 32 and 380, in my opinion.