faq

Find answers to your questions below or if you can't find the answer you are looking for here, please contact admin@thebls.com

Each organisation can have one listing in either the Members Directory or Corporate Partner Directory (depending on your membership type). To set up or edit your directory listing, log in to your BLS account, then go to the black bar at the top of the screen, click on the downwards pointing arrow to the right of the bell, then select Manage Directory. From here you can input the information relating to your organisation, clicking Save when finished. To check that your listing has been correctly uploaded go to https://www.thebls.com/directories
Some of our members have listed details of the services they offer on our website https://www.thebls.com/directory . You could also try contacting the Lymphoedema Support Network (LSN) on 020 7351 4480 or admin@lsn.org.uk .
We do not have any accepted procedures for this, but having consulted some of our colleagues, below are some suggested options. Please ensure that these are appropriate in line with local guidance: If the skin is intact and cleaned, then the procedure is low risk for infection transmission. Ensure the skin is washed. The use of an eyeliner pencil would be better because it can be sharpened between each patient, and the sharpener washed after each use. If using a pen, then pen can be washed between each use using 70% alcohol spray or wipes, and then allowed to air dry. Alternatively, a patient could bring their own pen. All of this would be including existing procedures around PPE, gloves, cleaning and other infection control measures. We are currently working on some guidance for practitioners who are reopening clinics to patients and we will now add these measures to our recommendations.
To update your account details, log in to your BLS account at https://www.thebls.com/login , then go to the black bar at the top of the screen, click on the downwards pointing arrow to the right of the bell and select Manage Account or Manage Preferences. Ensure you click Save when you have finished updating the information.
The BLS supports the advice on the Lymphoedema Support Service (LSN) website https://www.lymphoedema.org/ provided by Professor Peter Mortimer, in relation to vaccinations for patients with Lymphoedema. The advice is updated regularly and our members and others enquiring on this matter are encouraged to check the advice on a regular basis.
The following advice is generic to all people who have been told they have a limb 'at risk' of Lymphoedema or already have Lymphoedema, as we are not able to comment on individual medical cases. This advice is the same as that of LSN and other international bodies such as ours. The advice is, that it is common sense to ask if the blood can be taken from the opposite arm to the risk arm where this is possible, but there are times when this is not possible or the medical risk of doing so is greater than the risk of Lymphoedema. The basis for this advice is that the evidence for needle stick/blood drawing actually causing or worsening Lymphoedema is weak.
As far as we are aware there have been no changes to how they are charged but sometimes the patient experiences a different charge if a change to the type of garment by the therapist has meant that the pharmacist has had to charge the patient differently, or the pharmacist has incorrectly applied the tariff. Currently, a pair of stockings are charged as a pair (one charge) if they are the same class size etc and under the Lymphoedema section of the tariff. But if one is a different class or colour or there is an addition to them like toe caps then they may become two items. 2 made to measure stockings of Lymphoedema (RAL etc) standard will come in 2 separate boxes but if they are identical in every way then they should be charged as a pair or one item. A pair of stockings under the British tariff section of the tariff will be charged as 2 items even though they might come in the same box.
There is no research demonstrating that saunas or hot tubs increase the risk of triggering lymphoedema following breast cancer treatment. Historically it was stated in many advice leaflets that saunas or hot tubs should be avoided following breast cancer treatment as this was thought to increase risk. However, this is no longer supported as it is now recognised that this advice was anecdotal and not based on research. If the individual already has lymphoedema following breast cancer treatment, then using hot tubs or saunas is down to personal judgement. The lymphoedema symptoms may increase following the use of a hot tub or sauna, similar to the increases in lymphoedema often experienced in hot humid weather, but in most cases the increase is transient. For further information on what to advise those at risk of lymphoedema please see fact sheet for those at risk of lymphoedema: https://www.thebls.com/documents-library/lymph-facts-what-information-advice-and-support-should-be-provided-for-those-at-risk-of-lymphoedema

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