According to the analysis conducted by Centers for Disease Control, ROC, the mortality rate of severe COVID-19 pneumonia is over 80%. Language differences and threats to life and health cause more stress for foreign patients during hospitalization. The purpose of this article was to explore a nursing experience in intensive care unit for a foreign patient with severe COVID-19 pneumonia. From Jul. 25 to Aug. 6, 2021, data were collected through observation, interview, physical assessment, and chart review. Through holistic assessment, the major health problems identified included impaired gas exchange, hyperthermia, and anxiety. Applying Duffy's quality caring model, quality care elements such as "healing environment", "basic human needs", "appreciation of unique meanings", "encouraging manner", and "mutual problem solving" were integrated into the caregiving process. Through active care and cooperation with a cross-disciplinary team, the patient's pulmonary infiltration and respiratory failure was improved, and she successfully weaned from ventilator. Through nursing care based on the stages of fever and medical treatment, we promoted the patient's comfort and stabilized her body temperature. Through the communication board and translation software, the patient was able to express her feelings and to clarify her doubts; through cooperation with the resource referral of the hospital pastoral department and the international medical center, we provided spiritual sustenance and enabled the patient to contact her boyfriend by letters to encourage each other, which relieved the patient's anxiety. For COVID-19 pneumonia is an emerging infectious disease, it is suggested that in the future, health problems and treatment of severe COVID-19 pneumonia and English-speaking courses can be incorporated into the on-the-job training of nurses, to improve the COVID-19 pneumonia caring techniques of intensive care unit nurses and the quality of care for foreign patients with severe COVID-19 pneumonia.