It is very important that the patient feels comfortable and can trust the nurse anesthetist before undergoing anesthesia. At the micro level, nurse anesthetists interact with patients and their families. There are face-to-face discussions with each other before and after the surgery. The nurse anesthetist should be outgoing and easy to talk to so that the patient does not feel uncomfortable before undergoing surgery (nurse anesthetists). Some important symbols represented by nurse anesthetists are comfort, health and trust. If a patient feels uncomfortable or experiences anxiety, this could lead to an increased heart rate, increased blood pressure, and other health complications. Consequently, it is very important that nurse anesthetists present themselves with a positive attitude. The symbol of health is due to the fact that that patient's life is in their hands. It is up to the nurse anesthetist to assess the patient at all times to ensure there is no harm or complications resulting from the procedure. Trust is also an important symbol because a patient must be able to have confidence and trust that the nurse anesthetist who treats him or her is experienced, knowledgeable and competent in providing his or her care and carrying out all of his or her duties. If a patient does not trust the nurse anesthetist, the procedure may need to be postponed to find another nurse