Just a little background, my father (83, M) has had extreme anxiety his entire life, and I suspect he has undiagnosed borderline personality disorder. That will be relevant later. My mother (75, F) and myself (43, M) are the only other relevant parties for what I've written.
My father had a stroke in early August, and he got extremely lucky on several fronts. My mother (75) found him almost immediately the morning it happened and called an ambulance. They happen to live near one of the best hospitals in the area, the head neurosurgeon just happened to be on call that day, and he was in surgery within an hour of the first stroke symptoms. My father avoided paralysis and any major cognitive issues, but the stroke affected his cerebellum, which controls balance and coordination.
He was in the ICU for a week, and during that time he displayed symptoms of extreme psychosis, something the doctors said is fairly common for stroke victims in the ICU. He immediately started trying to rip the tubes out of his body and resist any attempts from the doctors to help or administer treatment, to the point where he had to be restrained and sedated. He also punched a nurse in the face and split their lip.
Things settled slightly after one week, and he was transferred out of the ICU into a normal hospital room. That first night, he climbed out of his bed to use the bathroom, and fell and broke his hip. The bed had an alarm but by the time the nurses got to him, he was already on the floor. They did an emergency hip replacement the following day.
For the rest of his hospital stay, and afterwards when he transferred to a different hospital for a 2-week stint of rehab, his behavior was so erratic they had to put him on seroquel, a drug usually reserved for people with schizophrenia or bipolar disorder. He was able to complete the rehab and be weaned off of the seroquel, and he was released to my parents house, to a room on the first floor in a rented hospital bed, where he has been since early September. I'm living with them temporarily right now, to help with the recovery, and I've been helping my father complete a laundry list of unfinished projects, most related to home or car repair, along with being a caretaker. For reference, I'm currently unemployed.
He's been recovering, slowly, and he gets around using a combination of a walker, wheelchair, and rollator, with help from myself and my mother. While he's more mobile each day, he gets dizzy whenever he sits or stands upright, and he's still extremely unsteady on his feet. I don't think a day goes by that he doesn't almost fall down again, were it not for myself or my mother being there. The hip is actually not an issue anymore, it's just the dizziness. He doesn't seem to be aware of his limitations or the possibility of injury again, or if he is, it's inconsistent. I just learned a word, "Anosognosia", which I think is applicable here.
Due to his anxiety and his tendency to ruminate, he's had issues falling and staying asleep, so his doctor prescribed a low dose antidepressant, Mirtazapine, which has helped even him out slightly. He takes it at night and while it does help him sleep, by around late morning the following day it's largely worn off and he's back to being anxious and irritable. It was a chore to even get him to take that low dose, and he's already refused to take it after an emotional outburst (he's back on it now, but he told my mother at some point to shove the pills up her ass).
There have been a few times recently where he's gotten up on his own, usually during an emotional outburst, which completely scares the crap out of myself and my mother. It seems to be happening at an increasing rate as he gradually becomes more mobile.
Today at 4:30 AM I heard noise coming from the first floor of the house, and I came down to find him using his walker to go to the bathroom in the dark. He has a bottle which he usually uses to urinate in the middle of the night next to his bed, and we've discussed with him the dangers of getting up on his own, but this is the latest example. I couldn't fall back asleep so I'm sitting here writing this.
I foresee a not too distant future where he re-injures himself, likely by breaking his hip again, and I don't know if there's anything I can do to stop it. There will come a time where either myself or my mother won't be there, like what happened tonight, and he'll just fall again, and then we're back to where we started. My mother and I have put our lives completely on hold for this recovery, and all of that time and effort will have been wasted.
I'm honestly not even sure if that's the best course of action but I feel like I'm grasping at straws. I think he needs a different or higher dose of psychiatric medication at least, which is going to be a challenge since he would be resistant to getting diagnosed. I desperately want to get the three of us into therapy but I'm having a lot of trouble finding a family therapist.
My mother and I have already talked about boundaries and what those might look like. She has said if my father has to return to the hospital, she's not going to be there 8 hours a day like the first time. She said she'll go there for 1 hour a day and basically leave him to rot the rest of the time. I'm prepared to talk with him when he gets up this morning and explain that I'm done helping him. I'll still stay around to help my mother with the house, but I'm not going to help with any more of his projects, or spend any more time and energy on my relationship with a man who so desperately wants to kill himself.
I'm not sure how to proceed, or if I'm doing the right thing.