Sarah Hewlett
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Sarah Elizabeth Hewlett is an
emeritus ''Emeritus/Emerita'' () is an honorary title granted to someone who retires from a position of distinction, most commonly an academic faculty position, but is allowed to continue using the previous title, as in "professor emeritus". In some c ...
Professor of
Rheumatology Rheumatology () is a branch of medicine devoted to the diagnosis and management of disorders whose common feature is inflammation in the bones, muscles, joints, and internal organs. Rheumatology covers more than 100 different complex diseases, c ...
Nursing at the
University of the West of England The University of the West of England (also known as UWE Bristol) is a Public university, public research university, located in and around Bristol, England, UK. With more than 39,912 students and 4,300 staff, it is the largest provider of hi ...
and expert on
rheumatoid arthritis Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects synovial joint, joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and h ...
(RA). She was appointed an
Officer of the Order of the British Empire The Most Excellent Order of the British Empire is a British order of chivalry, rewarding valuable service in a wide range of useful activities. It comprises five classes of awards across both civil and military divisions, the most senior two o ...
in the
2019 Birthday Honours The 2019 Queen's Birthday Honours are appointments by some of the 16 Commonwealth realms of Queen Elizabeth II to various orders and honours to reward and highlight good works by citizens of those countries. The Birthday Honours are awarded as ...
.


Early life and education

Hewlett studied nursing at
St Bartholomew's Hospital St Bartholomew's Hospital, commonly known as Barts, is a teaching hospital located in the City of London. It was founded in 1123 by Rahere, and is currently run by Barts Health NHS Trust. History Early history Barts was founded in 1123 by ...
and graduated in 1975. She spent five years as a senior sister in a
neurosurgical Neurosurgery or neurological surgery, known in common parlance as brain surgery, is the medical specialty that focuses on the surgical treatment or rehabilitation of disorders which affect any portion of the nervous system including the brain, s ...
unit before becoming a clinical researcher. She was supported by the Arthritis Research Campaign (now
Versus Arthritis Versus Arthritis is the United Kingdom's largest charity supporting people with arthritis. It was launched in 2018, following the legal merger of the country's two leading arthritis charities, Arthritis Research UK and Arthritis Care in 2017. Ac ...
). She studied
health care Health care, or healthcare, is the improvement or maintenance of health via the preventive healthcare, prevention, diagnosis, therapy, treatment, wikt:amelioration, amelioration or cure of disease, illness, injury, and other disability, physic ...
ethics at the
University of Wales The University of Wales () is a confederal university based in Cardiff, Wales. Founded by royal charter in 1893 as a federal university with three constituent colleges – Aberystwyth, Bangor and Cardiff – the university was the first universit ...
, investigating the ethics of
informed consent Informed consent is an applied ethics principle that a person must have sufficient information and understanding before making decisions about accepting risk. Pertinent information may include risks and benefits of treatments, alternative treatme ...
. She earned a
PhD A Doctor of Philosophy (PhD, DPhil; or ) is a terminal degree that usually denotes the highest level of academic achievement in a given discipline and is awarded following a course of graduate study and original research. The name of the deg ...
at the
University of Bristol The University of Bristol is a public university, public research university in Bristol, England. It received its royal charter in 1909, although it can trace its roots to a Merchant Venturers' school founded in 1595 and University College, Br ...
in 2000, where she studied the impact of
disability Disability is the experience of any condition that makes it more difficult for a person to do certain activities or have equitable access within a given society. Disabilities may be Cognitive disability, cognitive, Developmental disability, d ...
in
rheumatoid arthritis Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects synovial joint, joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and h ...
.


Research and career

Hewlett spent the early part of her nursing career in clinical care. She then moved into research, where worked on rheumatology care, education and research. She collaborated with the University Hospitals Bristol NHS Foundation Trust. Hewlett identified that patients suffering from
rheumatoid arthritis Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects synovial joint, joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and h ...
(RA) consider
fatigue Fatigue is a state of tiredness (which is not sleepiness), exhaustion or loss of energy. It is a signs and symptoms, symptom of any of various diseases; it is not a disease in itself. Fatigue (in the medical sense) is sometimes associated wit ...
as a significant and often overlooked problem. She estimated that up to 98% of people who suffer from RA experience fatigue. She noticed that whilst fatigue makes the symptoms worse for patients with
multiple sclerosis Multiple sclerosis (MS) is an autoimmune disease resulting in damage to myelinthe insulating covers of nerve cellsin the brain and spinal cord. As a demyelinating disease, MS disrupts the nervous system's ability to Action potential, transmit ...
,
rheumatoid arthritis Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects synovial joint, joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and h ...
makes fatigue worse. She described flares of
rheumatoid arthritis Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects synovial joint, joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and h ...
as "duvet and chocolate days". Hewlett evaluated the provisions nurses had for treating fatigue, and found that they had limited ways to measure and manage fatigue. Hewlett went on to develop a protocol to evaluate
fatigue Fatigue is a state of tiredness (which is not sleepiness), exhaustion or loss of energy. It is a signs and symptoms, symptom of any of various diseases; it is not a disease in itself. Fatigue (in the medical sense) is sometimes associated wit ...
. She then ensured that it was evaluated in every
rheumatoid arthritis Rheumatoid arthritis (RA) is a long-term autoimmune disorder that primarily affects synovial joint, joints. It typically results in warm, swollen, and painful joints. Pain and stiffness often worsen following rest. Most commonly, the wrist and h ...
trial. In 2007 she was the first person to be named a Chair in Rheumatology Nursing at the
University of the West of England The University of the West of England (also known as UWE Bristol) is a Public university, public research university, located in and around Bristol, England, UK. With more than 39,912 students and 4,300 staff, it is the largest provider of hi ...
. The protocol developed by Hewlett, the Bristol RA Fatigue Scales (BRAFs), can be used to evaluate the severity of disease, and have been translated into 36 languages. Once she had developed a metric to measure fatigue, Hewlett developed interventions to manage
fatigue Fatigue is a state of tiredness (which is not sleepiness), exhaustion or loss of energy. It is a signs and symptoms, symptom of any of various diseases; it is not a disease in itself. Fatigue (in the medical sense) is sometimes associated wit ...
, including the use of
cognitive behavioural therapy Cognitive behavioral therapy (CBT) is a form of psychotherapy that aims to reduce symptoms of various mental health conditions, primarily depression, PTSD, and anxiety disorders. Cognitive behavioral therapy focuses on challenging and chang ...
(CBT). Her research into the design and testing of CBT interventions was supported by the
National Institute for Health Research The National Institute for Health and Care Research (NIHR) is the British government's major funder of clinical, public health, social care and translational research. With a budget of over £1.2 billion in 2020–21, its mission is to "improv ...
. CBT was shown to reduce the impact and severity of fatigue in patients with RA, and adopted by
occupational therapist Occupational therapists (OTs) are health care professionals specializing in occupational therapy and occupational science. OTs and occupational therapy assistants (OTAs) use evidence-based practice, scientific bases and a Holism, holistic perspec ...
s in
Scotland Scotland is a Countries of the United Kingdom, country that is part of the United Kingdom. It contains nearly one-third of the United Kingdom's land area, consisting of the northern part of the island of Great Britain and more than 790 adjac ...
and
British Columbia British Columbia is the westernmost Provinces and territories of Canada, province of Canada. Situated in the Pacific Northwest between the Pacific Ocean and the Rocky Mountains, the province has a diverse geography, with rugged landscapes that ...
. Hewlett contributed to the Oxford Textbook of Rheumatology.


Awards and honours

Her awards and honours include: * 2011 Fellow of the
Royal College of Nursing The Royal College of Nursing (RCN) is a registered trade union and professional body in the United Kingdom for those in the profession of nursing. It was founded in 1916 as the College of Nursing, receiving its royal charter in 1928. Queen Eliz ...
* 2019
Officer of the Order of the British Empire The Most Excellent Order of the British Empire is a British order of chivalry, rewarding valuable service in a wide range of useful activities. It comprises five classes of awards across both civil and military divisions, the most senior two o ...


References

{{DEFAULTSORT:Hewlett, Sarah Nurses from London Fellows of the Royal College of Nursing Year of birth missing (living people) Living people Officers of the Order of the British Empire Academics of the University of the West of England, Bristol British nurses