A close-up view features a dark-skinned human arm and hand, extending forward from the lower left

A close-up view features a dark-skinned human arm and hand, extending forward from the lower left. The hand is partially clenched with the thumb raised. Two beaded bracelets are worn on the wrist: a lower dark blue bracelet composed of faceted beads, and an upper bracelet featuring clear beads interspersed with smaller colorful (pink, yellow, light blue) and clear rhinestone-accented beads. A gold-toned ring is visible on a finger of the hand. The background depicts an outdoor paved area constructed with interlocking tiles in shades of beige, brown, and reddish-brown. To the left, a low barrier with blue vertical bars and a green base separates the paved path from an area with green foliage and trees, casting shadows across the ground. In the mid-ground, a single blurry human figure, dressed in light-colored clothing, is observed walking away from the camera along the paved path. The environment suggests an institutional or public outdoor space. This scene is located in a Hospital ward, Kenya.