What are the differences that may affect Cuban-American patients who immigrat

What are the differences that may affect Cuban-American patients who immigrated at different times? 
What can a nurse do to make life in the hospital more culture-specific for an Amish client? 
List at least two etiological reasons for the development of alcoholism within an Irish-American family. 
Submission Instructions:
Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.