Roy didn't want hospice, and neither did I. Unless you put the family member in a hospice facility, hospice nurses come for 1 hour a day, check the patient, ask if you need any supplies or meds, and then leave. You are not allowed to leave the house while they are there. They will not help with the care of your family member.
When Silver Patriot was terminal 3 years ago, I was appalled as to what little hospice does. Silver Patriots husband had no breaks until I got there. They had no family to help.

I totally understand what you are going through, my friend ! I know you need to work, but you are in a situation where it is impossible ATM. My oldest daughter quit her job to help me take care of Roy, and my youngest worked from home. My middle daughter lived right across the alley from my old house, and even though she has 4 kids and works full time, she came over with food, at the least.I was so Blessed to have my daughters to help !

When your loved one starts to become irrational, it makes taking care of them so difficult ! Roy did crazy things, like ask for a glass of milk, and then pour it into the nearest house plant. He broke a lot of the furniture. He broke the knobs and locks off the doors. He would put things where they didn't belong, like hide his cell phone in a box of drill bits in the basement,and hid his false teeth in a box of miscellaneous items under the bed.
The worst was when he just snapped, and pushed me into the dining room table. I hit the corner of the table and split my head open, literally. My youngest called the police and an ambulance for Roy. I knew he didn't know what he was doing, as the cancer was deeply entrenched in his brain.Of course I wasn't going to press charges, as he truly didn't know what he was doing. He was hospitalized for a while after this happened, and was home for 3 weeks before he passed away in his sleep.

Your Faith will sustain you, as it has all through this so far ! God loves you, my Friend !