(((((hugs)))) Yes, you must have help in the home with him, or he won't be able to stay in the home, imo. You have to do what is best for all. If you and your spouse aren't able to recharge your energy, you will both become physically ill and then unable to function well at all. Each one of you needs some unstressed time to do something fun. I know you know this... I don't know what resources you have gone to, but surely there are some untapped? Church, Salvation Army, local Medical Tech college, the media! Keep asking for help... loudly! I hope it works out for you soon.