I used a tutorial to learn how to delete the unwanted space that i didn't want from the original pill picture. I learned that the delete on the keyboard does not always work so the clear button in the edit drop down menu also worked.
http://www.youtube.com/watch?v=Xu8Fc5gycnE
Above are the pictures I gathered to make the final product which you will see at the end of this post. I traced the hand and cut them out and made a copy of them to make them look like there is many more. Then I changed the transparency on some of the hands to make them lighter and darker. Then I added a simple background and some clouds to get the sky effect. Then I created this.