I think the jig is up, and he’s going to go scorched earth as his mental decline continues. From someone who has spent decades in nursing, I too have seen thousands of patients with active dementia symptoms working on both hospitals, in home, hospice and nursing homes and it’s undeniable that his condition is in accelerated decline. Work NOC shift a you’ll see it every night. He’s sundowning and dozing off repeatedly during the day. Eventually he’ll be sleeping all day and waking at night to Jeckyll and Hyde situation. I give him < 6 months of he’s lucky.