This is the first you have ever heard of her trouble with symptoms of carpal tunnel syndrome. She goes on to explain that her disability requires that you accommodate her. Phyl may be feeling poorly, but this notification does not necessarily warrant an accommodation. Always involve Human Resources when there is a need to understand or apply the provisions of the Americans with Disabilities Act. Always consult Human Resources prior to addressing grooming issues.
Many factors can influence an employee's inability to maintain good personal hygiene, however.
Supervisors must recognize this and remain responsive to the needs of the employee. Personal hygiene issues should be addressed in a direct and discreet manner. Coaching and counseling should resolve the issue, but progressive discipline is warranted if the problem persists.