Ms Koh's three siblings are married and most of them have children, while she is single - another factor that prompted her decision, she says.
Her mother had told her siblings: "I want Janet to take care of me."
Later on, Madam Ng told Ms Koh she knew she would care for her well because of Ms Koh's patient and meticulous nature.
Madam Ng, a housewife and widow, had suffered a mini-stroke, whose symptoms are similar to a stroke. Her mobility was affected and she now uses a walking frame or a wheelchair. She also has benign paroxysmal positional vertigo, making her prone to dizziness, fainting and falls.
In 2014, Madam Ng, 83, was diagnosed with dementia.
Ms Koh's journey as her mother's full-time caregiver has been stressful and taxing. For instance, taking care of her mother is physically tiring when she has to transfer her from her bed and support her when she uses her walking frame.
The earliest challenges typically involve coming to terms with a loss of independence for both the caregiver and the care recipient.
Ms Jasmine Wong, a senior social worker at Hua Mei Mobile Clinic, Hua Mei Centre for Successful Ageing at Tsao Foundation, says: "It is a time of adjustment for both sides. Some care recipients may experience a loss in terms of activities of daily living, such as the inability to feed, bathe or dress themselves, which leads to a loss of independence and some level of dignity, especially at the initial stage when their personal hygiene is being taken care of by others."
Ms Jayne Chiara Leong, a senior social worker and counsellor at Singapore Cancer Society, says: "The tasks of a caregiver include providing physical, emotional, spiritual, financial or logistical support.... It is normal for first-time caregivers to feel overwhelmed, burdened, helpless or inadequate."
There is a wide range of resources available for caregiving by organisations such as government agencies, charities and volunteer welfare bodies. These include home help services, financial support schemes, meal deliveries and caregiver-training programmes for foreign domestic helpers.
Ms Koh has been attending courses and talks to learn about caregiving and dementia, and has chalked up more than 30 such workshops in the past four years.
Next week, she will attend a workshop at a hospital that deals with modifying the texture of food. Her mother can eat normally now, but if her condition declines, she may be able to eat only soft food, she says.
"In school, I was not as hardworking as I am now. I try and anticipate her needs," says Ms Koh, who also considers her mother's emotional needs.
Learning more about dementia has helped her "validate" her mother despite the challenges of the condition, which sees Madam Ng repeating remarks constantly as her short-term memory is poor.
Last year, when she had hallucinations linked to her dementia, which convinced her that her cupboard was covered with ants, Ms Koh did not dismiss her claims or hurt her feelings, but simply turned on the light to show her mother there were no ants.
Some of her siblings have provided monetary support and she receives social assistance funding through programmes such as the Government's ComCare scheme. After Ms Koh left her job, she and Madam Ng have had to scale back on their household expenses to living on less than $1,000 a month.
Although she rarely has time to herself, she has no regrets: "Caregiving can be very rewarding. I'm learning new skills and starting a relationship with her - she seems like a new person - all over again."
Ms Leong says self-care strategies such as taking time to relax and exercise are important as caregivers sometimes focus on their loved ones to the extent of neglecting their own health and well-being.
In this respect, Ms Koh joins an exercise group twice a week and relaxes by surfing the Internet when Madam Ng is asleep. Many of her friends are also caregivers, who, like her, have little time to socialise.
Advocates say society can do its part to ease the burden on caregivers.
Ms Eleanor Yap, founder and director of Ageless, an organisation that advocates for seniors, says: "I strongly believe in community support. With an ageing population and with people living longer, many of us will be in caregiving roles and society needs to step up and empathise."
Ms Yap, who is also the editor of Ageless Online, a free Web portal for seniors, says family members can share in caregiving as it can be tiring for one person to shoulder the task. Neighbours and friends can spend, for example, an hour with the care recipient to give the caregiver respite. And employers can adopt flexible work arrangements for employees who are caregivers.
She adds that serial caregivers who care for different loved ones over an extended period may face issues such as not being able to prepare adequately for their own retirement or finding it tough to return to the workforce.
In the case of Madam Liaw Lay Kian, 55, being a full-time caregiver for two of her loved ones led to her finding a career in late middle age: nursing at a hospice.