Does this truck have sentimental value because you got it from family or are you dependent on it for your lifestyle? Second question, how much of this work can you do? Third question, will the money you invest in maintenance be better spent on another vehicle?
Personal opinion, oil changes and regular maintenance is advisable. Dealing with problems as they appear would be the next priority.
For perspective, I have a 1948 GMC and a 1975 Chevy that I will invest my last dime into because of sentimental value. I will pay professionals to keep these running. On the other hand I have trucks, Jeeps, loaders, trailers, and a skid steer that I only do regular maintenances on. The age on these vehicles range from 27 to 56 years minus the skid loader. If I cannot fix these, they are scrap.
In a nut shell, learn what you can to do the work yourself, keep the beast running, and start looking for a replacement.
Now on a personal note, I noticed you asked for advice and received some great insight. Yet you did not bother to thank those who provided their time or knowledge. I think you owe a thank you to those that responded to your situation. If you thank me for my insight, I will be offended. Good luck to you.
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