Environmental Scenario I rehabilitation: Jack is 45 years of age and is recovering from a recent accident at work involving a fall and significant ongoing back and shoulder pain. He has been off work now for 3 months, spends most days inactive at home in front of the TV and computer, and has recently been diagnosed with mild depression related to his accident. He has a preexisting condition of an arthritic knee with ongoing pain management issues. He works in the construction industry and has concerns about his continuing employment. He has two teenage children at school. He has few friends outside of work and tends to rely on support from his wife that he is not utilizing as much as he could. He feels that the health system should help him but he has become less proactive about seeking out help, looking for information, or asking for help. He feels he is not making any progress and has lost interest in any kind of physical activity. He is unsure about the pain but feels it is unwise to do the exercises recommended by the Physiotherapist. He has little confidence in his ability to recover and expects the rehabilitation service to solve his problems. He is seeing a Physiotherapist at the rehabilitation service and has a local GP. Identify one major environmental barrier to Jack's progress and elaborate on why they are a barrier in Jack's rehabilitation.

I have identified one major environmental barrier for Jack is his sedentary lifestyle and spending most days inactive in front of the TV and computer. This lifestyle not only contributes to physical deconditioning but also creates an environment that discourages physical activity and rehabilitation efforts. Sedentary behavior can worsen musculoskeletal pain and impede the recovery process. Moreover, it can exacerbate his depressive symptoms as physical inactivity is often linked to poor mental health outcomes.

Q. Can you please help me to elaborate on how this environmental barrier is hindering Jack's rehabilitation and specific ways in which depression impacts his motivation, self-esteem, and overall mental well-being?

References would be appreciated to review.