Just a little background altho I think most of you are aware.
I tore the ligaments off my dominant thumb several years ago. I have problems handling large items, heavy items, bulky items and teeny weenie items. Sigh. Also I have a condition called "Essential Tremor" that makes me shake and jerk when trying to do fine work. So quilting has been stitch in the ditch for me. And not well at that! I have tried drawing out simple designs and still can't seem to do a decent job. I can only do small projects too.
But. . . . I can do paper piecing! Not intricate patterns, simple ones. One day I thought "how can it be I can PP but not do simple quilting designs."
So here is what I came up with that works well for me.
A simple design is cut from paper and pinned in place on my sandwiched project:
I stitch around the paper. Yes, occasionally I will "nip" the edge.
And the finished motif:
No idea why the paper works for me and drawing out a design doesn't. But Hey! it works and I am going with it.