ABSOLUTELY!!
Thinking back, one of the greatest assets my son had was the medical social worker in the hospital and in the nursing home. They paved the way for everything to be set in place and kept him where it was needed when he had to qualify for home services.
Its a screwy system, but once the patient is home-its almost impossible to get the services that they're entitled to - at home. Ya gotta be in an institution to apply, and wait for authorization before going home..

Looking back at your post Lynn....I think your situation is unreasonable even without the PN! Some one has to compromise....you have done more than your share. Even a healthy person would keel over in your circumstances. You just can't do it all, alone.:hug:

For what it is worth Lynn I agree with Cyclelops, you are the one needing support - just because you have this unseen disease you are being treated as a healthy person - if you had an open wound that people can see then you wouldnt be expected to do half as much - have it out with your brother and his family, they need to help you.
Take time out and look after yourself:hug:

Maybe shock treatment?
Get your brother involved in buying a coffin. plot, funeral details & costs for your father- then for you. Maybe he'll get the point.