It is a self portrait and hand print of Nicholas.
Children diagnosed with Prader Willi Syndrome have difficulty developing fine motor skills. Low muscle tone makes it difficult for them to grasp crayons or pencils.
Keeping pressure on his writing device and tracing an object is very tiring for Nicholas. This outline of his hand took him a long time to complete.
When I saw this drawing, I was thrilled. It has been difficult for Nicholas to draw a circle for a head. This drawing not only shows his head, but eyes and glasses, nose, mouth and feet too. Notice how he drew his foot braces (or "magic shoes" as he calls them) on his feet? The body...almost under his neck. The hair too...almost on his head!
Weston took one look at Nick's drawing and exclaimed....
"Nicholas, you look like a skeleton!" and he ran into the living room.