I typically ask my wife if she has to go to the bathroom. Even if she says 'No', but I realize that it has been awhile since the last time she went I still still do what I can to gently persuade her to go to the bathroom. Most of the time she will say 'Yes', and I take her, help her with her clothing, help her onto the toilet, wipe her, help her off the toilet, and help her with her clothing. A year ago I was tired of washing her underwear daily so I started putting Depends underwear on her, which she accepted with no problem. this has helped because she has had some episodes of incontinence, though not all the time. At night, which has been more problematic, I have started using a Tena product which is more absorbent. This saves me from have to change her nightgown, and the bed pad, if she has an accident overnight.