Usually means: Confusion worsening at night dementia.
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We found 11 dictionaries that define the word sundowning:

General (4 matching dictionaries)
  1. sundowning: The Word Spy
  2. sundowning: Wiktionary
  3. sundowning: Dictionary.com
  4. Sundowning (album), Sundowning (dementia), Sundowning (disambiguation), Sundowning: Wikipedia, the Free Encyclopedia

Medicine (7 matching dictionaries)
  1. sundowning: Merriam-Webster Medical Dictionary
  2. Dorland's Illustrated Medical Dictionary (No longer online)
  3. Sundowning: MedTerms.com Medical Dictionary
  4. Sundowning: Merck Manuals
  5. online medical dictionary (No longer online)
  6. sundowning: Medical dictionary
  7. Sundowning: Drug Medical Dictionary

(Note: See sundown as well.)

Definitions from Wiktionary (sundowning)

noun:  (medicine, psychology, psychiatry) A state of agitation, confusion, or delirium, especially in patients suffering from Alzheimer's disease, which begins daily at nightfall and which is alleviated by daylight.

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