May I point out these two people have NONE of the experience you people have?
This is the case of late deafness, probably quite late, of a senior couple,
and it does isolate very much if you have no idea how to deal with it.
This couple obviously used ears and speech all their life, and no wonder the wife is worried - worried, not embarrassed - how her husband will communicate with other hearies with his significant hearing loss.
CI and HA - all that probably in a matter of few years, and without previous experience with hearing loss.
She doesn't make a fuss about "what does it look like". On the contrary - she is deeply concerned about her husband being rejected and abandoned due to his communication difficulties.
that's why she frets about sitting together and then being left alone.
She probably worries her husband will get depressed or already is,
and worries about that, too.
that's' why she is looking for help, that's why she wrote to D A.
As for D A, well her response is as limited as it is because Abby, being just a newspaper (or magazine?) columnist,
is not licensed to give out a detailed, professional advice re: hearing loss, hearing aids, psychotherapy, senior's problems etc etc.
She did her best with what she was given (written),
and IMO she did good enough - she did pointed out it's the nursing home staff's responsibility to ensure anybody's special needs are meet,
and she did pointed out there might be a room for improvement regarding CI and HA - indeed there could be,
considering this lovely couple may have no idea how to properly service these things.
Nothing else a mere columnist can do, and in a limited column space at that.
Fuzzy