My last year I coasted, but was not a slacker. In the medical field, you have to see patients daily!
But, I chose to use my accumulated vacation rather than be paid out, so I had a week off every month the last year, and as I accumulated more during the year, I started also taking a 4 day weekend every month, too! I also started scheduling all of the needed medical/dental/vision appointments before retirement and chose to take the whole day off, rather than a few hours to get them accomplished. As a manager, I was able to do that and not impact the actual work of the clinic. I had my management teams support before I put in for the time off. I think I ended the year with only 10 hours of vacation and 4 hours sick leave payout! Good timing.