P words

P words
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Article Summary

P-words like park, patty cake, puzzle, pajamas, potty, and puppy can be important in a child’s life. So kids need to be able to articulate them, and according to norms, children can typically produce the /p/ sound by 2-3 years old. At 3 years old, a child’s speech is expected to be at least 75% intelligible to a stranger. If you’re a Speech-Language Pathologist working on improving a...

Key Takeaways

  • This article explains Exercise #1: Use tissue paper for visual feedback in simple medical language.
  • This article explains Exercise 2: Popping bubbles in simple medical language.
  • This article explains Exercise 3: Use visual cues for /p/ during book reading in simple medical language.
  • This article explains Exercise #4: Have a painting party in simple medical language.
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Emergency safety firstUrgent warning signs are highlighted below.
Definition

P-words like park, patty cake, puzzle, pajamas, potty, and puppy can be important in a child’s lifeSo kids need to be able to articulate them, and according to norms, children can typically produce the /p/ sound by 2-3 years old.

At 3 years old, a child’s speech is expected to be at least 75% intelligible to a stranger. If you’re a Speech-Language Pathologist working on improving a young child’s speech intelligibility, the /p/ sound is a great place to start.

/P/ is a bilabial plosive sound, meaning it’s made when the lips come together and then a burst of air is released. What makes it the perfect early developing sound to work on with young children who have an articulation disorder is that it’s very visual.

Young children who are still developing receptive language skills may benefit from the ease of being able to see how others make the /p/ sound, and the simple mouth movements involved in producing it.

It’s critical to find motivating activities for targeting the /p/ sound in teletherapy or in-person speech therapy sessions. It’ll help keep even younger children engaged so they complete multiple trials for practice, and be attentive to verbal and visual cues.

Here are some of the best activities and techniques for teaching the /p/ sound. We’ve also got a word list at the end of /p/ words, organized from simple to complex, and in all word positions.

Exercise #1: Use tissue paper for visual feedback

This exercise for eliciting the /p/ sound in speech therapy is a fun one that’ll show children the power of moving their mouths a certain way.
  • Instruct the child to close their mouth, making sure their lips are held tightly together. Model how you do this with your mouth.
  • Next, put a small piece of colorful tissue paper in front of the child’s lips, leaving just a small amount of space there. Ask the child to push their lips open, releasing a big burst of air that’ll make the tissue paper “dance”.
  • Turn this into a creative craft by helping your client glue the piece of tissue paper onto a piece of paper each time after they practice the /p/ sound. The result will be a colorful collage and lots of trials of your target sound.

Tip: You can also do this activity using a tissue, thin scarf, or cotton ball on a table. Any of these will move if the child correctly produces the /p/ sound, giving them the reinforcement and feedback that they made their sound correctly.

Exercise 2: Popping bubbles

Bubbles are loved by children of all ages, and they’re perfect for working on the articulation of the /p/ sound!

Blow bubbles or use a bubble machine and encourage the child to say /p/ each time you pop a bubble. Once the child seems to have mastered the sound in isolation, encourage him or her to practice it in the initial and final position of a simple word, like “pop” during this activity.

Seeing your client over teletherapy? There are tons of fun bubble-pop games available online that you can play during therapy by utilizing your screen-sharing feature.

Curious George Bubble Pop by PBS Kids and Tingly Bubble Shooter by ABCya are a few favorites.

Push, pull, pass, pick, play, and please are some other initial /p/ words that are perfect to incorporate into a bubble activity.

Exercise 3: Use visual cues for /p/ during book reading

There are so many great children’s books that include multiple /p/ words. Choose one to read during your session, asking the child to imitate some of the target words along the way.

To teach your client how to produce the /p/ sound, visuals can be very helpful. Using one hand, put your fingers together, then quickly separate them to show how your mouth closes, and then release air to make this sound.

Tap on your lips as you model the /p/ sound, and move your finger away from your mouth to draw attention to how the air gets released from your mouth.

Exercise #4: Have a painting party

Work on the /p/ sound by incorporating a painting activity into your session.

If you’re working with the client virtually, this is an easy one for a parent to set up with materials that they likely already have at home. Demonstrate the /p/ sound as you start with some auditory bombardment.

Ask the child to watch his mouth as you say several words starting with this sound such as:
  • Paint
  • Pretty
  • Pink
  • Purple
  • Pick

Next, ask the child to imitate those words before painting together. Encourage the child to paint something that starts with /p/ such as a puppy, person, or pig.

Teletherapy tip: You can use the Paint application on your computer to do this activity if you are seeing your client over teletherapy.

Exercise #5: Play /p/ Games

Another way to target articulation of the /p/ sound is by engaging your client in some fun games that involve a lot of words containing this sound.

Pop the Pig is a popular game that can be adapted for a variety of ages. Ants in the Pants is another simple game that children as young as 3 can play. Finally, Pancake Pile Up is a favorite of many SLPs.

Once the child masters /p/ in isolation, syllables, and the initial position of words, try seeing if he or she can produce it in the medial or final position of words. You can incorporate games such as Hungry Hungry Hippos.

Word List for /p/

Initial Position
1-Syllable

Pie Peas Pig Pen Park
Pants Pack Pass Pat Pear
Peach Pick Play Pop Pour
Push Pull Put Pool

Multisyllabic

Picnic Playdough Playground Picture Peanut
Pickle Penguin Pumpkin Puzzle Pudding
Puppet Party Pizza

Medial Position

Paper Bumpy Puppet Puppy Open
Happy Apple Hippo People Purple
Airplane Applesauce Diaper Grandpa Helicopter
Napkin Sleepy Spaghetti Toothpaste

Final Position

1-Syllable

Map Chip Clap Cup Ship
Wipe Up Top Tape Stop
Sleep Chip Beep Grape Help

Multisyllabic

Ketchup Hula hoop Envelope Asleep Gingersnap
Potato chip Telescope Flytrap Championship Tulip

SLPs working with individuals who have an articulation disorder or phonological disorder like pronouncing the /p/ sound can utilize TheraPlatform for helpful resources.

Doctor visit helper

Prepare before seeing a doctor

A simple rural-patient checklist to help you explain symptoms clearly, ask better questions, and avoid unsafe self-treatment.

Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Start with a registered doctor or the nearest qualified health center.

What to tell the doctor

  • Write when the problem started and how it changed.
  • Bring old prescriptions, investigation reports, and current medicines.
  • Write allergies, pregnancy status, diabetes, kidney/liver disease, and major past illnesses.
  • Bring one family member if the patient is weak, elderly, confused, or a child.

Questions to ask

  • What is the most likely cause of my symptoms?
  • Which danger signs mean I should go to hospital quickly?
  • Which tests are necessary now, and which can wait?
  • How should I take medicines safely and what side effects should I watch for?
  • When should I come for follow-up?

Tests to discuss

  • Vital signs: temperature, pulse, blood pressure, oxygen saturation
  • Basic physical examination by a clinician
  • CBC, urine test, blood sugar, or imaging only when clinically needed

Avoid these mistakes

  • Do not use antibiotics, steroid tablets/injections, or strong painkillers without proper medical advice.
  • Do not hide pregnancy, kidney disease, ulcer, allergy, or blood thinner use.
  • Do not delay emergency care when danger signs are present.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

  • Rest, drink safe water, and observe symptoms carefully.
  • Keep a written note of symptoms, duration, temperature, medicines already taken, and allergy history.
  • Seek medical care quickly if symptoms are severe, worsening, or unusual for the patient.

OTC medicine safety

  • For mild pain or fever, ask a registered pharmacist or doctor before using common over-the-counter pain/fever medicines.
  • Do not combine multiple pain medicines without advice, especially if you have kidney disease, liver disease, stomach ulcer, asthma, pregnancy, or take blood thinners.
  • Do not give adult medicines to children unless a qualified clinician advises it.

Avoid these mistakes

  • Do not start antibiotics without a proper medical decision.
  • Do not use steroid tablets or injections casually for quick relief.
  • Do not delay emergency care because of home remedies.

Get urgent help if

  • Severe symptoms, confusion, fainting, breathing difficulty, chest pain, severe dehydration, or sudden weakness need urgent medical care.
Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Doctor / qualified healthcare provider
Tests to discuss with doctor
  • Basic vital signs: temperature, pulse, blood pressure, oxygen level if needed
  • Relevant blood, urine, imaging, or specialist tests only after clinical assessment
Questions to ask
  • What is the most likely cause of my symptoms?
  • Which warning signs mean I should go to emergency care?
  • Which tests are really needed now?
  • Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Safe pathway to proper treatment

Care roadmap for: P words

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
  • Severe or rapidly worsening symptoms
  • Breathing difficulty, chest pain, fainting, confusion, severe weakness, major injury, or severe dehydration
Doctor / service to discuss: Qualified healthcare provider; specialist depends on symptoms and examination.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Do tests after clinical assessment. Avoid unnecessary tests, random antibiotics, or repeated medicines without diagnosis.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
  • Do not hide medicines already taken, even herbal or over-the-counter medicines.
  • Ask which warning signs mean urgent referral to hospital.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.