You can read a great new palliative care article written by Dr Victoria Bradley, Consultant in Palliative medicine, Sobell House, OUH and colleagues.
Open access (free) article in BMC Palliative Care Journal with suggested practical guidance.
Raby J, Bradley V, Sabharwal N. Anticoagulation for patients with mechanical heart valves at the end of life; understanding clinician attitudes and improving decision making. BMC Palliat Care 20, 113 (2021). https://dio.org/10.1186/s12904-021-00809-z