Paranoid and delusional elderly Dad.
87 year old father who is defensive about even the slightest question; unpleasant, irritable; potentially violent; keeps guns and knives; has delusions that those who have done most for him are now trying to harm him; very poor judgment; spends thousands of dollars on items he cannot use; will not clean up house--leaves food to rot and collect maggots; if he drops food or trash he just steps over it or leaves it where it fell; cannot make out checks and doesn't pay bills. I am the only one of my siblings who is able to deal with my Dad.
Sometimes I must take things on a moment to moment basis as he is very paranoid, delusional and confrontational. He is financially well off but has started to spend foolishly.
For example he has purchased 2 new ATV's and he cannot operate even one.
I have recently started writing the checks for his bills and giving them to him for signature. He spends hours on the phone with a female 40 years his junior who is an opiod addict and who is married. He will not consider an ALF and will not permit me to hire a caregiver. To be honest I am frightened of him in some instances as he keeps weapons hidden all over the house and never know when he will turn on me. He constantly eats and is obese and in poor health. I have to take him to physicians in another city because local doctors will not treat him due to his unpleasant behaviors. I am at a loss on how to plan his care as he has so many issues to contend with.