You must be as kind to the elderly as possible.

Literal

Elderly [to-には] as-much-as-possible kind do-not [must-なくてはいけません].

~なくてはいけません is the polite double-negative obligation: 'if one doesn't do X, it's not acceptable' = 'one must do X.' できるだけ adds intensity. The most emphatic version of the 'be kind to elders' theme.