So I have a client who's wife has Alzheimer's. She can still press a "few" buttons to do various things. He says "think of a three year old".
I'm trying to setup the TV's so she can turn on super easy. So I need to have some macros, etc in the background. My dilemma is finding a remote that with very minimal buttons.
I've just started to look into Alzheimer specific devices.
Hoping someone here has possibly run into this and has some ideas.

It's a dynamic situation. A solution that works today may not work in a few weeks or months. Finding the right "remote" could be an issue. I know one person who could not always distinguish between a remote control and a phone. Sometimes attempting to change channels resulted in a phone call. And, keeping track of which end to point at the TV can be an issue.

I'd be tempted to use a dedicated pad (in kiosk mode) that is physically anchored somewhere. It should display only a few channel icons and OFF. I'm not sure if Volume+/- is required.

And clear instructions in big letters.

If you can find a remote with an LCD display that can be customized with images, it might help. That way, she can make choices, based on images, rather than text.

Thinking of a 3 y.o. is hard to do and sometimes, the abilities are unexpected- I was programming a Harmony 1000 and the homeowner's 3 year old daughter wanted to watch a DVD- she sat next to me on the sofa, looked at the remote, pressed the DVD icon, waited for the transport buttons to appear before pressing Play, then sat back to watch the movie.

I had said absolutely nothing to her about how the system could be controlled.

Try using an iPad-based control program, with icons- I think it might be the way to go.

I bet three year olds can remember passwords better than their parents as well.

My new business model for 2023 may be, not charging an hourly rate, but charging a flat rate based on the number of wrong passwords I enter in for my clients.

That's because their minds haven't been filled by the crap we need to learn and what we have been forced to learn.

Twenty bucks a crack, plus travel time.

I hate government 'rules' as much as the next person but that's a case where I wish they would say, all password rules have to be 'this'. It's crazy what some websites' password rules are. I use KeePass.

When did hackers start to care about rules and when did the government start to be the best choice for making rules that involve technology like this? Sure, DARPA developed the network protocols, but I think they're uninvolved, now.

Maybe this:

You program the channels that the cable box skips to each time they press chan up/down

[Link: flipperremote.com]