I told my employer about my situation right away and they agreed to pay for a few accommodations which enable me to get around the work site (changed all door knobs to lever style) and maintain productivity (bought voice recognition software). I've been open about my diagnosis with coworkers who for the most part have been extremely nice when I ask for help with all the stupid little things I can't do because of the atrophy/weakness in my hands. They have made it so I don't feel like I'm imposing.
At home, where life is much more physically strenuous, much of what I used to do is now being done by others or by me with assistance from others. It has been a bit of an eye opener for them to realize just how much mom took care of every day. A lot of activity at my house is now started with me saying "can you do me a favor.....". My two teenage daughters have been incredibly helpful. My younger sons have become little gentlemen - holding doors, carrying my bags. I must admit some stuff simply isn't getting done - the nooks and crannies are definitely showing the dirt and there are dust bunnies rolling through my house like tumbleweeds. Also, we eat out more often than we used to since I can't cook. Generally, I try to keep the emphasis off of me and on what's always been most important, for example, how the kids are doing with school and their "extracurricular" activities.
The thing I like least is needing help with personal-care needs. We had a rather hilarious episode where the girls offered to wax my lower legs for me (my last shaving attempt I botched so bad that it ended up looking like the shower scene from Psycho). And my husband is now in charge of trimming my toe nails which we both agree is not sexy.
That's for now. We'll see how things unfold as my needs increase, my girls leave home, etc.
Liz