I think the word is just used differently in the different settings. In real life, doctors will analyze people with head trauma or dementia for lucidity. If someone cannot think clearly, is disoriented, or cannot recognize people they should know, they are described as "not lucid." So it is used to assess general awareness and cognitive abilities. In regards to dreaming, we commonly use "lucid" to describe the sole belief that we are dreaming. I dont think it follows the strict definition of lucid, but that is what it has come to mean.
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