Savvy Statin Shopping. Let's go shopping. This edition of Staying Well focuses on how to be a savvy shopper in choosing a statin for your patients, a timely issue in light of the US Food and Drug Administration's (FDA's) new simvastatin warnings.
From around 18 months old, your toddler will probably hold a brush or pen with her whole hand, and make her marks by moving her arms around (Thomson Delmar Learning 2007) . It won't be until your child is three years or older that she'll be able to hold a pencil in the writing position (Thomson Delmar Learning 2007) .
Pencil grasp development. Children commonly begin by holding the pencil with the whole hand - pronating the forearm and using the shoulder to move the pencil. Later, children use a more mature pencil grasp, holding the pencil between the distal phalanges of the thumb, index and middle fingers. At this later stage, the forearm is usually supinated and the intrinsic muscles of the hand move the pencil. Handwriting readiness.