Mine is not a work environment, and I totally understand that for those who administer domains, patches and updates are a completely different issue, and precautions must be taken. But for me, I don’t worry about those precautions, because I’m already covered.
I follow my own advice, and offer it freely. The first line in my signature is “Create a fresh drive image before making system changes/Windows updates, in case you need to start over!” Well, Windows updates and patches are “system changes”, so I need a fresh drive image from before those changes, in case I need to start over.
I use Windows Task Scheduler to perform weekly drive images of my OS partition, my Users partition, and my Program Files partition, all of which is done in the wee hours of the morning on Sunday. In my daily driver desktop is a 1TB SSD with a single partition which is the target for these drive images. I use Task Scheduler for quite a few routine maintenance tasks, so I never turn any of my PC’s off, just sign out.
I use TeraByte Unlimited Image For Windows to create these images, but any imaging software that can be configured and run using a batch file should work equally well. I also have a bootable USB configured with a TeraByte Unlimited script and named TBWinRE. So I can boot my TBWinRE USB thumb drive and restore a drive image even if a Windows update or patch has completely pooched my system and it won’t boot into Windows. So far, that hasn’t happened.
With that preparation in place for several years now, I don’t use any precautions about Windows updates or Patch Tuesday other than blocking driver updates via Group Policy. When Microsoft pushes a patch or feature update, I get it. If it causes a problem, I can get rid of it by restoring my most recent drive image (which has yet to happen). After Microsoft pulled the initial release of 1809, I restored 1803 and waited for Microsoft to get things sorted out enough to offer the update again. Restoring my OS partition takes about 3 minutes. All my data files are triple-copied in multiple locations (again, using Task Scheduler, and a Robocopy batch file) on a daily basis for most, twice daily for the most critical.