Peace of Mind Aging & Wellness Specialists

11/28/2025

Take home point of a complicated topic. Frailty (fatigue, multiple medical diagnoses, weakness, multiple meds, falls) + memory changes = ExPoNeNtIaL effect!! Leading to more rapid decline and increase in needs

Frailty + dementia = a powerful combination that affects so much more than memory.

A systematic review showed that when someone living with dementia is also frail, they’re at higher risk for hospitalizations, faster decline, and losing independence.

This is why I don’t just evaluate cognition… I look at strength, mobility, safety, nutrition, daily function, and caregiver support. Treating memory alone isn’t enough.
Proactive, in-home, whole-person care can prevent crises and change the path forward.

✨ When we identify frailty early, we can support families and slow the decline.

It’s not just about memory. It’s about keeping your loved one strong, safe, and supported.

11/27/2025

Hi, it’s Dr. Nebel again…

If you’re noticing changes in a loved one’s memory or behavior—even if others don’t—it’s okay to speak up. We all experience relatives differently, and some may dismiss concerns out of protection or fear.

👉 Trust what you’re seeing.
👉 You don’t need everyone’s agreement to start the conversation.

11/26/2025

11/26/2025

Sometimes it’s not a diagnosis—it’s the subtle changes in an aging loved one.

Constipation • Sleep issues • Isolation • Mood or memory shifts • Balance problems • Incontinence

These are geriatric syndromes, often the first sign something deeper may be happening.

As we head into the holidays and spend time with family we haven’t seen in a while, pay attention to what feels “off.” If you're unsure what’s normal aging—I can help.

🕊️ Peace of mind starts with a conversation.

11/25/2025

🙌🏻A reminder for my fellow mission-driven entrepreneurs and community:

🤔Ever had multiple conversations with someone who still asks what you do, why they should recommend you, or wants you to justify your services and pricing?

💡It’s not unclear communication—it’s misalignment.
Not everyone will understand your mission or value. And that’s okay.

🚫 Stop convincing.
✨ Honor your expertise.
➡️ Move on & ‘Find your people’.

– Life lesson and lyric by my favorite artist, 🎶

11/25/2025

📍 Strong coffee this morning reminded me… 👉 Honor the time you’ve already protected. 👉 Don’t let future-you override what past-you wisely planned. If you block time because you know you’ll need it—keep it blocked. Strong coffee. Strong boundaries. Happy Thanksgiving ☕🦃

11/23/2025

People living with dementia often experience disruptions in their sleep patterns. Also common is sundowning, which is a pattern of increased confusion and behavioral changes in the late afternoon and evening. In a free virtual program on Nov. 18, Dr. Carleara Weiss from the University at Buffalo will present her research on this topic and share practical strategies for caregivers. alz.org/newyork

11/22/2025

I am dumbfounded, aghast, gobsmacked and in complete disbelief by this list. As a physician, in residency and through 20+ years of practice, I would not be who I am without the mentoring and direction of the nurses I am privileged and honored to have worked with in my training and career. Not to mention the therapists who are a sounding board and the educators who got me to this degree. Social workers?? Where would ANY patient or health system be without your tireless efforts to improve every aspect of our community. Truly unconscionable. You all have my utmost support. We need one another.

11/22/2025

🩺Excited to be with Danielle J. Miller, M.D. and Luz Medicine at their inaugural ‘Connections in Women’s Health’ program! 👩🏻‍⚕️ I love learning and am amazed at how dependent memory is on women’s (everyone’s) health!
🧠 Do you know your risk factors for memory loss?!
🧠 Do you know how hormones and memory relate?
☎️Call to learn more: 717-723-8531

11/21/2025

Holiday tip: Time together helps us notice how aging loved ones are really doing.

🧠 Memory loss isn’t just “normal aging.”
Forgetting names or misplacing keys can happen to anyone—but changes that affect daily life deserve attention.
If you’re noticing differences in someone you love, trust your instincts.
Early evaluation brings clarity, direction, and true peace of mind. 💙

11/20/2025

Let me introduce myself (anyone else hear EMINEM when I say that?!):
I’m Dr. Kristen Nebel, geriatric physician and founder of PEACE OF MIND Aging & Wellness Specialists. I bring medical care directly into the home, specialize in dementia care and capacity evaluations, and help families plan for aging with clarity instead of crisis.

When health, safety, or decision-making start to feel overwhelming… I help you find direction and peace of mind.

It’s your first time—
but it’s not mine.

📞 Want guidance? 717-723-8531
🔔 Follow for weekly tips on aging well & caring with confidence.
📍 Serving Lancaster County & surrounding areas

11/17/2025

🩺 Understanding Medical Capacity Evaluations

Medical decision-making capacity matters—for families, caregivers, and professionals supporting older adults.

A capacity evaluation helps answer one essential question:
👉 Can this person understand, appreciate, reason, and communicate decisions about their health, finances, or living situation?

It’s not about intelligence or a diagnosis.
It’s about ensuring someone has the ability to make informed choices—protecting both independence and safety.

At PEACE OF MIND Aging & Wellness Specialists, our evaluations provide:
✅ Clarity for families navigating difficult decisions
✅ Documentation for attorneys, care managers, lenders, courts, and facilities
✅ Compassionate, individualized assessments grounded in geriatric expertise

📞 717-723-8531