@keithchappell, I completely understand your situation as my mother whom I care for has Alzheimer's. It sounds like your wife is still fairly high functioning so you might try typing out in a large font on the computer the "Steps" to using the bathroom and posting it on the side wall where she can see it when she sits down. If she can still read, this has proven enormously helpful for us. She will then have each step written out and can hopefully follow your directions. We also use this method for helping my mother remember to keep her disposable panties on at bedtime and not removing the disposable bed pad. I typed a humorous message from the "bed" and laminated the paper so we could place it on her pillow every night. It works great! Hope these ideas help.