I will pre read Lynette Jensen's patterns before I start and make sure I think I can do it. I don't have much trouble following her instructions. She does not use modern ways with cutting segments, etc.
For my donation quilts I don't follow any patterns. Usually I cut 7-1/2" blocks and sew the alternating with a color that matches the print I use. Faster and easier. Or something as simple. Since I don't know how they will be cared for I do want to get too fancy.
I make sure the colors match and are pretty.