just to clarify this statement a bit:
place your right hand at the top of the tire and your left hand at the bottom and grab hold of the tread (or viceversa... sake of discussion thing). while pushing in-ward (toward the engine) with your top hand, pull outward with your bottom hand (toward you) while lifting a bit.
movement = bad.
first time i did the ball joint change thing, took 4 hours to do all 4. assuming you have a no-rust california truck, you shouldn't have too much trouble getting it all apart and put back together. you definitely want the press tho - i wouldn't mess with it without. i suppose it could be done with a bench vise and some seriously big ass sockets, but it would suck. if you can, heat up the knuckle during removal/install of the ball joints.
one thing i did that helped keep me organized, is get some cheapo tupperware to put the bolts into... there's alot of little things. DO NOT forget to put the wheel bearing back in with the cone facing inward. i put one in backwards once and it ground up into a metallic paste, ruining my lock out hub and making driving it back to the driveway a dangerous task (country road, 2 miles - middle of nite, no traffic).
you can make the adjusting sleeve tool out of an extra 3/8" deep socket. just pull the new adjusting sleeve out of the box, and grind down the socket to match the new sleeve. that's the only kind i've ever used. it kinda sucks, but i haven't spent the $29 on a nearly-one-time use tool tho (i priced it at a couple places in town... they're kinda hard to find).